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1801559034
SHELBI DIEZEL
GREENWOOD, IN
NPI
1801559034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003422A)
Enumeration Date
2021-10-14
Last Update Date
2022-12-12
Business Address
SHELBI DIEZEL PA
479 VAN CAMP SQ
GREENWOOD, IN 46143-1616
Phone number: 317-694-6089
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Mailing Address
SHELBI DIEZEL PA
479 VAN CAMP SQ
GREENWOOD, IN 46143-1616
Phone number:
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