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Individual

AMANDA M DESCHEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
500 S LIBERTY DR, BLOOMINGTON, IN 47403-1924
(812) 349-1392
(812) 349-1393
Mailing address
3778 S CLAYBRIDGE DR, BLOOMINGTON, IN 47401-8565
(712) 574-9318

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2602559A
IN

Other

Enumeration date
11/27/2019
Last updated
11/27/2019
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