LYNNAIRE JASTILLANO

TERRE HAUTE, IN
NPI1235685421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002099A)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- LYNNAIRE JASTILLANO PA-C
1625 N 4TH ST
TERRE HAUTE, IN 47804-4067
Phone number: 812-232-8716
Mailing Address
-- LYNNAIRE JASTILLANO PA-C
1625 N 4TH ST
TERRE HAUTE, IN 47804-4067
Phone number:
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