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1396714226
CARLI J WIERSEMA
CROWN POINT, IN
NPI
1396714226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71001182A)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
MS. CARLI J WIERSEMA NP
9330 BROADWAY
CROWN POINT, IN 46307-8602
Phone number: 219-662-5000
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Mailing Address
MS. CARLI J WIERSEMA NP
1326 LANTZ LN
SCHERERVILLE, IN 46375-3028
Phone number: 219-864-4350
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