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1679966030
REGINA NELSON
MERRILLVILLE, IN
NPI
1679966030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71005745A)
Enumeration Date
2015-03-10
Last Update Date
2017-04-21
Business Address
-- REGINA NELSON
3147 W 65TH AVE
MERRILLVILLE, IN 46410-2978
Phone number: 219-487-5031
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Mailing Address
-- REGINA NELSON
3147 W 65TH AVE
MERRILLVILLE, IN 46410-2978
Phone number: 219-487-5031
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