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Search › Indiana › 363L00000X

Sara Coburn

NPI 1861115750 · on the registry since 2022

Practice

Address
909 E State Blvd
Fort Wayne, IN 46805
Phone
(260) 481-2700
Organisation at this address
Park Center Inc
Park Center Inc
Park Center, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
274

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana