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JEFFREY RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-7000
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-7000
(574) 533-1234
(574) 537-2652

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008302A
IN

Other

Enumeration date
09/28/2018
Last updated
09/28/2018
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