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1972051696
SAMSON T WORKU
FORT WAYNE, IN
NPI
1972051696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27073472A)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- SAMSON T WORKU LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- SAMSON T WORKU LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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