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1134615834
MARY BEENA MAMMEN
KOKOMO, IN
NPI
1134615834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71008081A)
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
MARY BEENA MAMMEN
3505 S REED RD
KOKOMO, IN 46902-3838
Phone number: 765-453-8666
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Mailing Address
MARY BEENA MAMMEN
3505 S REED RD
KOKOMO, IN 46902-3838
Phone number:
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