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Organization

ABOITE CIVIL TOWNSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA J KRISHER (TRUSTEE)
(260) 432-0970
Entity
Organization

Contact information

Practice address
11321 ABOITE CENTER RD, FORT WAYNE, IN 46814-5472
(260) 432-0970
(260) 436-9747
Mailing address
11321 ABOITE CENTER RD, FORT WAYNE, IN 46814-5472
(260) 432-0970
(260) 436-9747

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100288330
IN
01
590010043
RRMC
Enumeration date
07/26/2010
Last updated
05/01/2013
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