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1477505543
JANELLE RUTH BLICKENSDERFER
SOUTH BEND, IN
NPI
1477505543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 02001307A)
Enumeration Date
2006-05-17
Last Update Date
2010-02-10
Business Address
Dr. JANELLE RUTH BLICKENSDERFER D.O.
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601-1003
Phone number: 574-232-2037
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Mailing Address
Dr. JANELLE RUTH BLICKENSDERFER D.O.
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601-1003
Phone number: 574-232-2037
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