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1740646348
RENATA ROBERTSON
MISHAWAKA, IN
NPI
1740646348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28151749A)
Enumeration Date
2016-01-12
Last Update Date
2023-11-15
Business Address
RENATA ROBERTSON NP
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1470
Phone number: 800-860-8100
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Mailing Address
RENATA ROBERTSON NP
PO BOX 746092
ATLANTA, GA 30374-6092
Phone number: 574-334-5400
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