GWENDOLYN OWENS

Driver

Active Individual
NPI: 1417375916

Practice Address

4821 POCONO XING
Fort Wayne, IN 46808

Phone: (260) 222-1620

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 172A00000X (IN)

Frequently Asked Questions

NPI 1417375916 is the National Provider Identifier for GWENDOLYN OWENS, a Driver provider located in Fort Wayne, IN. This NPI was enumerated on April 1, 2014.
GWENDOLYN OWENS practices at 4821 POCONO XING, Fort Wayne, IN 46808.

Quick Facts

NPI
1417375916
Type
Individual
Enumerated
Apr 1, 2014
Last Updated
Apr 1, 2014

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