WILLIAM NORTHERN

CHARLESTOWN, IN
NPI1699133058
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27055526a)
Enumeration Date2016-02-01
Last Update Date2016-02-01
Business Address
-- WILLIAM NORTHERN
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
Mailing Address
-- WILLIAM NORTHERN
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
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