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1861663510
JODY JOSEPH
PLYMOUTH, IN
NPI
1861663510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002470A)
Enumeration Date
2008-03-20
Last Update Date
2013-08-27
Business Address
-- JODY JOSEPH FNP
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563-7836
Phone number: 574-472-6700
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Mailing Address
-- JODY JOSEPH FNP
PO BOX 6309
SOUTH BEND, IN 46660-6309
Phone number: 574-472-6700
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