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1255141834
REYFANETTE BROUGHTON
CROWN POINT, IN
NPI
1255141834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2025-01-07
Last Update Date
2025-01-07
Business Address
Mrs. REYFANETTE BROUGHTON
2505 HARVEST DR
CROWN POINT, IN 46307-9679
Phone number: 219-424-2888
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Mailing Address
Mrs. REYFANETTE BROUGHTON
128 S EAST ST UNIT 555
CROWN POINT, IN 46307-4030
Phone number: 219-424-2888
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