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1639138993
MARY LOU ERTEL
LAFAYETTE, IN
NPI
1639138993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: IN 71000614A)
Enumeration Date
2006-03-23
Last Update Date
2012-07-23
Business Address
-- MARY LOU ERTEL CPNP
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2479
Phone number: 765-448-8000
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Mailing Address
-- MARY LOU ERTEL CPNP
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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