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1538869458
MONICA RAE DEFORD
KOKOMO, IN
NPI
1538869458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71010678A)
Enumeration Date
2023-03-08
Last Update Date
2023-05-22
Business Address
Mrs. MONICA RAE DEFORD NP
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902-3803
Phone number: 765-776-8000
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Mailing Address
Mrs. MONICA RAE DEFORD NP
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number:
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