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1467715094
KRISTAN L HIGGINBOTHAM
MARION, IN
NPI
1467715094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28159335A)
Enumeration Date
2012-06-19
Last Update Date
2020-10-20
Business Address
KRISTAN L HIGGINBOTHAM
1391 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-660-7900
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Mailing Address
KRISTAN L HIGGINBOTHAM
330 N WABASH AVE STE G-20
MARION, IN 46952-2605
Phone number: 765-660-7616
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