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1932725942
HEALTH ESSENTIAL LLC
FORT WAYNE, IN
NPI
1932725942
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Entity Type
Organization
Authorized Contact
ANGELA M. STEWART-MARTIN
Owner
260-580-6836
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-06-25
Last Update Date
2021-06-18
Business Address
HEALTH ESSENTIAL LLC
3030 LAKE AVE STE 14
FORT WAYNE, IN 46805-5428
Phone number: 260-749-0643
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Mailing Address
HEALTH ESSENTIAL LLC
3030 LAKE AVE STE 14
FORT WAYNE, IN 46805-5428
Phone number: 260-749-0643
Copy
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