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1750804555
LORRAINE JELKS
MERRILLVILLE, IN
NPI
1750804555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
Mrs. LORRAINE JELKS
8008 TYLER ST
MERRILLVILLE, IN 46410-5346
Phone number: 219-713-1034
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Mailing Address
Mrs. LORRAINE JELKS
8008 TYLER ST
MERRILLVILLE, IN 46410-5346
Phone number: 219-713-1034
Copy
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