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1851772917
LAURA BEACH
MICHIGAN CITY, IN
NPI
1851772917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71005574A)
Enumeration Date
2015-06-15
Last Update Date
2023-02-27
Business Address
LAURA BEACH
8865 W 400 N STE 155
MICHIGAN CITY, IN 46360-9010
Phone number: 219-872-5655
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Mailing Address
LAURA BEACH
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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