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Individual

MRS. REYFANETTE BROUGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 HARVEST DR, CROWN POINT, IN 46307-9679
(219) 424-2888
Mailing address
128 S EAST ST UNIT 555, CROWN POINT, IN 46307-4030
(219) 424-2888

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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