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1720279128
JODY L SROF
ELKHART, IN
NPI
1720279128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 70000044A)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
-- JODY L SROF FNP
1627 E BRISTOL ST
ELKHART, IN 46514-3817
Phone number: 574-262-0313
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Mailing Address
-- JODY L SROF FNP
1627 E BRISTOL ST
ELKHART, IN 46514-3817
Phone number: 574-262-0313
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