Individual
MISS MARY ANTONETTE ESPINA DAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 MARGARET AVE, TERRE HAUTE, IN 47802-3339
(812) 232-2223
Mailing address
2222 MARGARET AVE, TERRE HAUTE, IN 47802-3339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31003778A
IN
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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