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1528786936
NICOLE FORD
VALPARAISO, IN
NPI
1528786936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71012958A)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
NICOLE FORD NP
1001 STURDY RD
VALPARAISO, IN 46383-4126
Phone number: 219-462-7173
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Mailing Address
NICOLE FORD NP
3928 W 77TH PL APT 20
MERRILLVILLE, IN 46410-5078
Phone number: 219-805-7096
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