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1518592278
IVY RYNEARSON
LAFAYETTE, IN
NPI
1518592278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: IN 71009854A)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
IVY RYNEARSON CNS
1345 UNITY PL STE 355
LAFAYETTE, IN 47905-5761
Phone number: 765-807-7988
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Mailing Address
IVY RYNEARSON CNS
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-446-5417
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