ESCOLASTICO AUSEJO DELORIA

MARION, IN
NPI1114034386
Other NameE A DELORIA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  ME33213)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
-- ESCOLASTICO AUSEJO DELORIA M.D.
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-6965
Mailing Address
-- ESCOLASTICO AUSEJO DELORIA M.D.
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-6965