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1154571792
BARBARA CHUPP-GROVE
MISHAWAKA, IN
NPI
1154571792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002740a)
Enumeration Date
2008-09-19
Last Update Date
2016-03-23
Business Address
-- BARBARA CHUPP-GROVE
710 PARK PL
MISHAWAKA, IN 46545-3519
Phone number: 574-273-6767
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Mailing Address
-- BARBARA CHUPP-GROVE
PO BOX 4049
PORTLAND, OR 97208-4049
Phone number: 574-273-6767
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