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Individual

MARY FELIX CHARLES IKEWETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
5132 SAGEBROOK BLVD, INDIANAPOLIS, IN 46239-9804
(313) 303-9863
Mailing address
5132 SAGEBROOK BLVD, INDIANAPOLIS, IN 46239-9804
(313) 303-9863

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021085867
IN

Other

Enumeration date
02/10/2022
Last updated
02/10/2022
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