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Individual

MRS. BELINDA J. DUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2441 E STATE ST, LAFAYETTE, IN 47905-2216
(765) 477-0462
(765) 477-0781
Mailing address
2441 E STATE ST, LAFAYETTE, IN 47905-2216
(765) 477-0462
(765) 477-0781

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000222495
BREAST AND BRA'S
IN
05
2003875540A
IN
Enumeration date
03/21/2007
Last updated
07/09/2007
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