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1225218746
DEBORAH LYNN WICKENDEN
MISHAWAKA, IN
NPI
1225218746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002529A)
Enumeration Date
2007-11-13
Last Update Date
2023-03-29
Business Address
DEBORAH LYNN WICKENDEN rn,np
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
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Mailing Address
DEBORAH LYNN WICKENDEN rn,np
2401 VALLEY DR
VALPARAISO, IN 46383-2520
Phone number:
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