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1467949073
TIMOTHY WISE
JEFFERSONVILLE, IN
NPI
1467949073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007909A)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
TIMOTHY WISE
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130-2930
Phone number: 812-284-2273
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Mailing Address
TIMOTHY WISE
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130-2930
Phone number: 812-284-2273
Copy
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