THERESE LYNN DEFABIS

LEBANON, IN
NPI1538250618
Former NameTHERESE LYNN WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71000314)
Enumeration Date2006-09-27
Last Update Date2021-03-29
Business Address
THERESE LYNN DEFABIS NP
1310 S LEBANON ST
LEBANON, IN 46052-2792
Phone number: 765-482-7005
Mailing Address
THERESE LYNN DEFABIS NP
1310 S LEBANON ST
LEBANON, IN 46052-2792
Phone number: 765-482-7005
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