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1932793478
NATHAN REIG MINER
FORT WAYNE, IN
NPI
1932793478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71010882A)
Enumeration Date
2021-02-25
Last Update Date
2023-04-20
Business Address
Mr. NATHAN REIG MINER PMHNP
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
Mr. NATHAN REIG MINER PMHNP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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