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Individual

MOLLIE MCDANIEL MOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 N JEFFERSON ST, HUNTINGTON, IN 46750-1404
(260) 356-4005
(260) 356-3501
Mailing address
9117 TIMBER RIDGE CT, FORT WAYNE, IN 46804-7727
(925) 518-6122

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28199768A
IN
363L00000X
Nurse Practitioner
Primary
71006194A
IN

Other

Enumeration date
11/10/2014
Last updated
04/24/2016
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