LOIS ELAINE DURYEA

GOSHEN, IN
NPI1891763629
Former NameLOIS ELAINE HAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  02001183A)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  02161)
Enumeration Date2006-03-09
Last Update Date2009-07-23
Business Address
-- LOIS ELAINE DURYEA DO
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
Mailing Address
-- LOIS ELAINE DURYEA DO
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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