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Organization

MAKE MI GORGEOUS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY CRAIG (CEO)
(260) 258-6237
Entity
Organization

Contact information

Practice address
3212 MALLARD COVE LN STE B, FORT WAYNE, IN 46804-2883
(260) 258-6237
Mailing address
920 CLAYBURN DR, FORT WAYNE, IN 46819-1431
(260) 258-6237

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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