SUSAN K GRACE

LA PORTE, IN
NPI1891838629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71000443)
Enumeration Date2007-02-14
Last Update Date2014-12-23
Business Address
-- SUSAN K GRACE NP
400 TEEGARDEN ST SUITE B
LA PORTE, IN 46350-3175
Phone number: 219-326-0043
Mailing Address
-- SUSAN K GRACE NP
400 TEEGARDEN ST
LA PORTE, IN 46350-3175
Phone number: 219-326-0043
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