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Individual

JEROME JOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
6923 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(765) 987-8171
Mailing address
PO BOX 94, 215 S. PEARL ST., SPICELAND, IN 47385-0094
(765) 987-8171

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
28159971A
IN

Other

Enumeration date
08/26/2010
Last updated
08/26/2010
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