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1578115234
CHANNAE WATKINS
GARY, IN
NPI
1578115234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009132A)
Enumeration Date
2019-07-12
Last Update Date
2020-11-25
Business Address
CHANNAE WATKINS NP
3229 BROADWAY STE 205
GARY, IN 46409-1038
Phone number: 219-806-3000
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Mailing Address
CHANNAE WATKINS NP
128 S EAST ST UNIT 227
CROWN POINT, IN 46308-3418
Phone number: 219-791-3512
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