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1629448691
LISA R HODGE
MUNCIE, IN
NPI
1629448691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71005819a)
Enumeration Date
2015-10-02
Last Update Date
2021-01-14
Business Address
LISA R HODGE FNP-C
5501 W BETHEL AVE
MUNCIE, IN 47304-8513
Phone number: 765-286-3900
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Mailing Address
LISA R HODGE FNP-C
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 877-668-5621
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