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1659903144
MIRANDA LOUISE FARIS
DEMOTTE, IN
NPI
1659903144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN F07191270)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
MIRANDA LOUISE FARIS Nurse Practitioner
11188 N 550 E
DEMOTTE, IN 46310-8947
Phone number: 219-964-5312
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Mailing Address
MIRANDA LOUISE FARIS Nurse Practitioner
11188 N 550 E
DEMOTTE, IN 46310-8947
Phone number: 219-964-5312
Copy
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