Mary Dame

NPI #1003118449 in Indianapolis, Indiana

Provider Information

NPI Number
1003118449
Entity Type
Individual
Name
Mary Dame
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 17, 2010
Last Updated
Nov 17, 2010

Practice Location

Address
2626 E 46TH ST
Address 2
STE J
State
Indiana
ZIP Code
46205-2380
Phone
(317) 475-9066

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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