MAYOLA LARA VILLARRUEL

MUNSTER, IN
NPI1376981480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: IN  28069615A)
Enumeration Date2013-06-11
Last Update Date2013-06-11
Business Address
-- MAYOLA LARA VILLARRUEL ANP
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-513-1109
Mailing Address
-- MAYOLA LARA VILLARRUEL ANP
10040 CLARK PL
CROWN POINT, IN 46307-2782
Phone number: 219-616-4546
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