JENELLE L JUSTAK

NEWBURGH, IN
NPI1356344766
Former NameJENELLE L MYRES - JUSTAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  02002672A)
Enumeration Date2005-05-31
Last Update Date2013-07-02
Business Address
-- JENELLE L JUSTAK D.O.
4111 GATEWAY BLVD
NEWBURGH, IN 47630-8954
Phone number: 812-853-5300
Mailing Address
-- JENELLE L JUSTAK D.O.
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone number: 812-853-5300
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