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JENNIFER RAYE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7334
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 458-3830

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001764A
IN

Other

Enumeration date
09/23/2011
Last updated
09/21/2020
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