Individual
MARYELLEN MORAN BORMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 751-3141
Mailing address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-3141
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
05/09/2023
Last updated
09/11/2025
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