JOSHUA DANIEL AVERY

MISHAWAKA, IN
NPI1952913279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28213722A)
Enumeration Date2020-08-18
Last Update Date2021-02-24
Business Address
JOSHUA DANIEL AVERY FNP-BC
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
Mailing Address
JOSHUA DANIEL AVERY FNP-BC
30613 OAKBROOK DR
GRANGER, IN 46530-5054
Phone number: 260-336-2155
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