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Individual

CHERYL VANDEURSEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
417 N HALLECK ST, DEMOTTE, IN 46310-9419
(219) 987-2641
(219) 987-5586
Mailing address
3 N COURT ST PMB355, CROWN POINT, IN 46307
(219) 681-6995
(219) 757-6481

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000112A
IN

Other

Enumeration date
06/27/2005
Last updated
07/08/2007
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