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1740872746
SPENCER SIMPSON
PORTAGE, IN
NPI
1740872746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: IL 209022630)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
SPENCER SIMPSON
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number: 219-763-8112
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Mailing Address
SPENCER SIMPSON
231 SPRUCE ST
MOMENCE, IL 60954-1069
Phone number: 815-351-4153
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