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1881114767
MARY K EVANGELISTA
EAST CHICAGO, IN
NPI
1881114767
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Former Name
MARY K ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007197A)
Enumeration Date
2017-06-22
Last Update Date
2018-09-10
Business Address
MARY K EVANGELISTA FNP
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-765-0597
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Mailing Address
MARY K EVANGELISTA FNP
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7224
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