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Individual

MRS. BARBARA JANE HERIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662
Mailing address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001524A
IN

Other

Enumeration date
04/20/2007
Last updated
03/01/2011
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