NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1265410120 | MANALO | EDNA | M |   | 6920 POINTE INVERNESS WAY STE 200 | FORT WAYNE | IN | 468047934 |
1083605364 | MANALO | MANOLO | M. |   | 6920 POINTE INVERNESS WAY STE 200 | FORT WAYNE | IN | 468047934 |