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Individual

YEJEE BIAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(951) 742-1656
Mailing address
2817 WESTBROOK DR APT 209, FORT WAYNE, IN 46805-2024

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28259928
IN

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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