JACKIE DONCEEL SQUIRES

BLOOMINGTON, IN
NPI1386740215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IN  72000030)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
MRS. JACKIE DONCEEL SQUIRES CNM
338 S WALNUT ST
BLOOMINGTON, IN 47401-3500
Phone number: 812-349-7343
Mailing Address
MRS. JACKIE DONCEEL SQUIRES CNM
9501 W WOLF MOUNTAIN RD
GOSPORT, IN 47433-9597
Phone number: 812-876-4151
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