Individual
REBECCA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(405) 618-8499
Mailing address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
07/31/2020
Last updated
02/15/2021
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