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Individual

SESAME DIJENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1063
(812) 352-4454
Mailing address
1029 MONARCH ST, STE 140, LEXINGTON, KY 40513-1904
(859) 338-4611

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01049289A
IN
207Q00000X
Family Medicine Physician
01049289A
IN
207Q00000X
Family Medicine Physician
33454
KY

Other

Enumeration date
05/16/2006
Last updated
05/11/2017
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