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1568943231
SHANON LEE MEKOLA
MICHIGAN CITY, IN
NPI
1568943231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71008506A)
Enumeration Date
2018-08-22
Last Update Date
2023-11-02
Business Address
SHANON LEE MEKOLA
10176 W 400 N STE C
MICHIGAN CITY, IN 46360-9009
Phone number: 219-873-1777
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Mailing Address
SHANON LEE MEKOLA
10176 W 400 N STE C
MICHIGAN CITY, IN 46360-9009
Phone number: 219-873-1777
Copy
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