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1508454778
VICKI LYNN LEDERLE
PERU, IN
NPI
1508454778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71010807A)
Enumeration Date
2021-01-04
Last Update Date
2022-08-26
Business Address
VICKI LYNN LEDERLE NP
661 E MAIN ST # B
PERU, IN 46970-2662
Phone number: 765-472-2519
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Mailing Address
VICKI LYNN LEDERLE NP
2331 W LOGANSPORT RD
PERU, IN 46970-8096
Phone number: 765-863-9051
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