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Individual

DEBRA LYNN FIFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
SOUTHERN INDIANA CTC, 7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111
(812) 256-4686
Mailing address
SOUTHERN INDIANA CTC, 7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111
(812) 256-4686

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27025026A
IN

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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