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Individual

MANDY VIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
429 W LINCOLN RD, KOKOMO, IN 46902-3508
(317) 654-3487
Mailing address
13313 RHINELAND PASS, FISHERS, IN 46037-7717
(317) 654-3487

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28193744A
IN

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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