DOROTHY ROBERTA SELF

INDIANAPOLIS, IN
NPI1194905190
Former NameDOROTHY SMITH SELF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71000600)
Enumeration Date2007-11-07
Last Update Date2007-11-07
Business Address
Mrs. DOROTHY ROBERTA SELF ANP
1700 N CAPITOL AVE B465
INDIANAPOLIS, IN 46202
Phone number: 317-962-0745
Mailing Address
Mrs. DOROTHY ROBERTA SELF ANP
PO BOX 1367 B465
INDIANAPOLIS, IN 46206-1367
Phone number: 317-962-0745
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