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1740729292
MIGNONETTE DARLENE
CROWN POINT, IN
NPI
1740729292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71006769A)
Enumeration Date
2017-02-16
Last Update Date
2022-05-23
Business Address
MIGNONETTE DARLENE
2100 N MAIN ST # 304
CROWN POINT, IN 46307-1877
Phone number: 574-546-1900
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Mailing Address
MIGNONETTE DARLENE
PO BOX 10299
FORT WAYNE, IN 46851-0299
Phone number: 574-546-1900
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