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1609436864
PHILIP D DIBERT
ELKHART, IN
NPI
1609436864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009192A)
Enumeration Date
2019-06-19
Last Update Date
2023-01-23
Business Address
PHILIP D DIBERT NP
500 ARCADE AVE STE 210
ELKHART, IN 46514-2485
Phone number: 574-389-5656
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Mailing Address
PHILIP D DIBERT NP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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