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1376051607
BETHANN PRADNY
MISHAWAKA, IN
NPI
1376051607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IN 28168062A)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
BETHANN PRADNY AGAC-NP BC
5125 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-5000
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Mailing Address
BETHANN PRADNY AGAC-NP BC
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number:
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