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1952588782
HEATHER MARIE SICKAFOOSE
FORT WAYNE, IN
NPI
1952588782
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Former Name
HEATHER MARIE CARMIEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000962A)
Enumeration Date
2008-01-23
Last Update Date
2024-05-05
Business Address
HEATHER MARIE SICKAFOOSE P.A.-C
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-482-4440
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Mailing Address
HEATHER MARIE SICKAFOOSE P.A.-C
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-482-4440
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