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1770890568
VICKIE L VANDEVENTER
BLOOMINGTON, IN
NPI
1770890568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71003333A)
Enumeration Date
2010-09-01
Last Update Date
2023-09-08
Business Address
VICKIE L VANDEVENTER FNP
4935 W ARLINGTON RD
BLOOMINGTON, IN 47404-1187
Phone number: 812-353-3800
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Mailing Address
VICKIE L VANDEVENTER FNP
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number:
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