Individual
MRS. CECILIA JEAN SAMPSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
520 EIGHTH AVE N.E, DEMOTTE, IN 46310
(219) 987-3581
(219) 987-7137
Mailing address
PO BOX 20, DEMOTTE, IN 46310-0020
(219) 987-3581
(219) 987-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71000106A
IN
Other
Enumeration date
06/30/2006
Last updated
02/11/2009
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