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Individual

JULIA R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1805 S STATE ROAD 57, WASHINGTON, IN 47501-4326
(812) 254-7845
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-2760

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008557A
IN

Other

Enumeration date
12/03/2018
Last updated
01/02/2021
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