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1982080669
SUSAN E KING
FORT WAYNE, IN
NPI
1982080669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71006737A)
Enumeration Date
2015-08-05
Last Update Date
2022-10-10
Business Address
SUSAN E KING AGPCNP-BC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
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Mailing Address
SUSAN E KING AGPCNP-BC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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