Individual
REBECCA LEIGH CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
885 CONNEXION WAY, SUITE 200, COLUMBIA CITY, IN 46725
(260) 248-9268
Mailing address
9735 FOREST CREEK DR, FORT WAYNE, IN 46835-9001
(260) 444-5254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000911A
IN
Other
Enumeration date
01/08/2007
Last updated
05/27/2014
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