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Individual

REBECCA MORFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11143 PARKVIEW PLAZA DR STE 311, FORT WAYNE, IN 46845-1728
(260) 266-8840
(260) 266-8849
Mailing address
3926 NEW VISION DR BLDG H, FORT WAYNE, IN 46845-1712
(260) 266-8213
(260) 458-5658

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28174269A
IN
363L00000X
Nurse Practitioner
Primary
71005742A
IN

Other

Enumeration date
07/30/2015
Last updated
03/09/2017
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