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1932325644
FELICIA ANNE COLCLESSER
FORT WAYNE, IN
NPI
1932325644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71001217B)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- FELICIA ANNE COLCLESSER NP
5909 ILLINOIS RD
FORT WAYNE, IN 46804-1159
Phone number: 260-432-6026
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Mailing Address
-- FELICIA ANNE COLCLESSER NP
4131 N WASHINGTON RD
FORT WAYNE, IN 46804-1821
Phone number: 260-436-7255
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