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1578339065
GIA CHEZVON SHORT
EAST CHICAGO, IN
NPI
1578339065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71015877A)
Enumeration Date
2023-11-27
Last Update Date
2024-11-22
Business Address
GIA CHEZVON SHORT PMHNP-BC
100 W CHICAGO AVE STE F
EAST CHICAGO, IN 46312-3261
Phone number: 219-392-7016
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Mailing Address
GIA CHEZVON SHORT PMHNP-BC
8558 BROADWAY
MERRILLVILLE, IN 46410-7032
Phone number: 219-392-7084
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