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1003061409
JOIE DEVIVRE
BLOOMINGTON, IN
NPI
1003061409
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Entity Type
Organization
Authorized Contact
LISA J JERRELLS
Md
812-334-2772
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01052568A)
Enumeration Date
2008-11-26
Last Update Date
2008-11-26
Business Address
JOIE DEVIVRE
1535 PIAZZA DRIVE
BLOOMINGTON, IN 47401
Phone number: 812-334-2772
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Mailing Address
JOIE DEVIVRE
1535 PIAZZA DRIVE
BLOOMINGTON, IN 47401
Phone number: 812-334-2772
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