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Individual

MS. CHERRYL ANN JEDELE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
625 ST RD 67 S, MOORESVILLE, IN 46158-1710
(317) 831-3221
(317) 831-3321
Mailing address
625 ST RD 67 S, MOORESVILLE, IN 46158
(317) 831-3220
(317) 931-3321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17440000X
IN

Other

Enumeration date
05/09/2006
Last updated
08/11/2008
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