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1114576154
TINA MARIE PIERCE
LA PORTE, IN
NPI
1114576154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009346A)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
Mrs. TINA MARIE PIERCE NP
809 JEFFERSON AVE
LA PORTE, IN 46350-3431
Phone number: 219-878-5645
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Mailing Address
Mrs. TINA MARIE PIERCE NP
809 JEFFERSON AVE
LA PORTE, IN 46350-3431
Phone number: 219-878-5645
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