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Individual

LISA ANTOINETTE DUFFLEY-KAZMIERSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.T.

Contact information

Practice address
12610 HAVENWOOD PASS, CEDAR LAKE, IN 46303-8692
(219) 757-1086
(219) 374-6583
Mailing address
12610 HAVENWOOD PASS, CEDAR LAKE, IN 46303-8692
(219) 757-1086
(219) 374-6583

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
IN

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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