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1275621229
DEIDRE ROSE DORMAN
MUNCIE, IN
NPI
1275621229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01058517a)
Enumeration Date
2006-10-11
Last Update Date
2024-08-19
Business Address
DEIDRE ROSE DORMAN M.D.
1500 W NEELY AVE BALL STATE UNIVERSITY STUDENT HEALTH CENTER
MUNCIE, IN 47306-0001
Phone number: 765-285-8431
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Mailing Address
DEIDRE ROSE DORMAN M.D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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