Individual
MRS. DAWN PEARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
419 N 7TH ST, GAS CITY, IN 46933-1525
(765) 506-2553
(765) 677-1970
Mailing address
419 N 7TH ST, GAS CITY, IN 46933-1525
(765) 506-2553
(765) 677-1970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27047798A
IN
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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