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1194304998
JEFFERY S LAIN
GOSHEN, IN
NPI
1194304998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71011080A)
Enumeration Date
2021-04-07
Last Update Date
2023-04-24
Business Address
MR. JEFFERY S LAIN NP
1824 DORCHESTER CT STE A
GOSHEN, IN 46526-6819
Phone number: 574-534-2548
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Mailing Address
MR. JEFFERY S LAIN NP
1824 DORCHESTER CT STE A
GOSHEN, IN 46526-6819
Phone number: 574-534-2548
Copy
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