DANIELLE CORK

LAFAYETTE, IN
NPI1821477969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001791A)
Enumeration Date2015-05-21
Last Update Date2017-01-28
Business Address
-- DANIELLE CORK
1501 HARTFORD ST
LAFAYETTE, IN 47904-2134
Phone number: 765-428-5850
Mailing Address
-- DANIELLE CORK
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-865-8133
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