JENNIFER LEIGH DEFAUW

VALPARAISO, IN
NPI1548982812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71013190A)
Enumeration Date2022-09-14
Last Update Date2022-11-30
Business Address
Mrs. JENNIFER LEIGH DEFAUW
1101 GLENDALE BLVD # 102A
VALPARAISO, IN 46383-3767
Phone number: 219-464-9521
Mailing Address
Mrs. JENNIFER LEIGH DEFAUW
2753 KERRY DR
VALPARAISO, IN 46385-0031
Phone number: 219-331-8183
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