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1760835912
OPHELIA ANSARI
MISHAWAKA, IN
NPI
1760835912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71006243A)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
-- OPHELIA ANSARI
4501 LINCONWAY EAST
MISHAWAKA, IN 46544
Phone number: 866-389-2727
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Mailing Address
-- OPHELIA ANSARI
4501 LINCOLNWAY E
MISHAWAKA, IN 46544-4035
Phone number:
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