SOE SAN

LAGRANGE, IN
NPI1851152532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71014882A)
Enumeration Date2024-01-19
Last Update Date2025-07-03
Business Address
SOE SAN FNP-C
2500 N DETROIT ST
LAGRANGE, IN 46761-1158
Phone number: 260-463-2133
Mailing Address
SOE SAN FNP-C
PO BOX 236
LAGRANGE, IN 46761-0236
Phone number: 260-463-2133
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