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Individual

BELINDA R SMITH-WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 496-9940
(260) 496-8971
Mailing address
5717 S ANTHONY BLVD, SUITE 200, FORT WAYNE, IN 46806-3386
(260) 447-8982
(260) 447-4483

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002338A
IN

Other

Enumeration date
02/07/2007
Last updated
07/27/2007
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