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1174082523
UPSTREAM HEALTH & WELLNESS, LLC
PORTAGE, IN
NPI
1174082523
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Entity Type
Organization
Authorized Contact
ROBIN ANDERSON
Owner
219-763-3636
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-03-15
Last Update Date
2021-03-10
Business Address
UPSTREAM HEALTH & WELLNESS, LLC
3207 WILLOWCREEK RD STE A
PORTAGE, IN 46368-5013
Phone number: 219-763-3636
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Mailing Address
UPSTREAM HEALTH & WELLNESS, LLC
3207 WILLOWCREEK RD STE A
PORTAGE, IN 46368-5013
Phone number: 219-763-3636
Copy
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