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Individual

STEPHANIE JEAN WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N WASHINGTON ST, WAKARUSA, IN 46573-9590
(574) 862-4511
Mailing address
300 N WASHINGTON ST, WAKARUSA, IN 46573-9590
(574) 862-4511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27070864A
IN

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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