DARELL EZELL

SOUTH BEND, IN
NPI1093314452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-10-18
Last Update Date2020-10-18
Business Address
DARELL EZELL
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
DARELL EZELL
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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