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1962686667
JENNIFER M NELSON
FORT WAYNE, IN
NPI
1962686667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IN 07-321)
Enumeration Date
2007-12-18
Last Update Date
2009-09-17
Business Address
-- JENNIFER M NELSON SA-C
1824 FOREST TRL
FORT WAYNE, IN 46845-9094
Phone number: 260-450-2870
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Mailing Address
-- JENNIFER M NELSON SA-C
1824 FOREST TRL
FORT WAYNE, IN 46845-9094
Phone number: 260-450-2870
Copy
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