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1134129919
JENA M CORBAN
MISHAWAKA, IN
NPI
1134129919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 7100148A)
Enumeration Date
2005-07-22
Last Update Date
2012-02-01
Business Address
Ms. JENA M CORBAN MSN
270 E DAY RD SUITE 280
MISHAWAKA, IN 46545-3444
Phone number: 574-231-6190
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Mailing Address
Ms. JENA M CORBAN MSN
270 E DAY RD SUITE 280
MISHAWAKA, IN 46545-3444
Phone number: 574-231-6190
Copy
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