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1902816143
SALLY SARE
BLOOMINGTON, IN
NPI
1902816143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71001843)
Enumeration Date
2006-08-09
Last Update Date
2007-10-08
Business Address
-- SALLY SARE NP
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-6511
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Mailing Address
-- SALLY SARE NP
1730 S. MAXWELL ST.
BLOOMINGTON, IN 47401-6627
Phone number:
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