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Organization
FLORA FAMILY MEDICINE, LLC
Active
Organization
FLORA FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON L DUTTER MD (PHYSICIAN)
(765) 446-5417
Entity
Organization
Contact information
Practice address
4 E MAIN ST, FLORA, IN 46929-1351
(574) 967-4523
(765) 446-5317
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056529A
IN
Other
Enumeration date
12/23/2013
Last updated
01/14/2014
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