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Su Yar

NPI 1083570485 · on the registry since 2025 · sole proprietor

Practice

Address
410 W Concord Ln
Fort Wayne, IN 46807
Phone
(720) 936-0758

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-29

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