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1013100775
CAROL LYNN PARKS
MICHIGAN CITY, IN
NPI
1013100775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002473A)
Enumeration Date
2007-08-24
Last Update Date
2021-03-11
Business Address
CAROL LYNN PARKS
1225 E COOLSPRING AVE 2-E
MICHIGAN CITY, IN 46360-6312
Phone number: 219-879-6531
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Mailing Address
CAROL LYNN PARKS
PO BOX 781076
DETROIT, MI 48278-1076
Phone number:
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