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1316519663
LACI C CAUDELL
BLOOMINGTON, IN
NPI
1316519663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71011324A)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
LACI C CAUDELL NP-C
1310 W BLOOMFIELD RD STE C
BLOOMINGTON, IN 47403-2001
Phone number: 812-334-2772
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Mailing Address
LACI C CAUDELL NP-C
1310 W BLOOMFIELD RD STE C
BLOOMINGTON, IN 47403-2001
Phone number: 812-334-2772
Copy
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