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1497911051
CAROLYN JO LANE
MARION, IN
NPI
1497911051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71002663A)
Enumeration Date
2008-08-04
Last Update Date
2013-08-01
Business Address
-- CAROLYN JO LANE NP
441 N WABASH AVE
MARION, IN 46952-2612
Phone number: 765-660-6411
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Mailing Address
-- CAROLYN JO LANE NP
330 NORTH WABASH AVE SUITE G20
MARION, IN 46952-2600
Phone number: 765-660-7600
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