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Individual

MS. AIDAN IRENE GWARTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 N NOTRE DAME AVE, SOUTH BEND, IN 46617-1404
(574) 631-5574
Mailing address
716 N NILES AVE APT 1014, SOUTH BEND, IN 46617-1973
(260) 920-8071

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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