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1992272405
SAMANTHA NICOLE BOGACZ
VALPARAISO, IN
NPI
1992272405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28247405A)
Enumeration Date
2018-11-01
Last Update Date
2022-07-14
Business Address
SAMANTHA NICOLE BOGACZ FNP
3000 MURVIHILL RD
VALPARAISO, IN 46383-5960
Phone number: 219-286-3907
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Mailing Address
SAMANTHA NICOLE BOGACZ FNP
9120 CONNECTICUT ST STE A
MERRILLVILLE, IN 46410-7015
Phone number: 192-863-9072
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