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Individual

MRS. ALICIA FALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
336 S CORNELL CIR, FORT WAYNE, IN 46807-2820
(260) 385-7444
Mailing address
336 S CORNELL CIR, FORT WAYNE, IN 46807-2820
(260) 385-7444

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27069196A
IN

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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