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1639337413
ELLEN HENNESSY-HARSTAD
MUNSTER, IN
NPI
1639337413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN 71000811A)
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
-- ELLEN HENNESSY-HARSTAD PNP
9128 COLUMBIA AVE
MUNSTER, IN 46321-2907
Phone number: 219-836-2730
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Mailing Address
-- ELLEN HENNESSY-HARSTAD PNP
9128 COLUMBIA AVE
MUNSTER, IN 46321-2907
Phone number: 219-836-2730
Copy
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