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Individual

AMY JO DENEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
400 N MOUNT ZION RD, LEBANON, IN 46052-9497
(765) 335-0123
Mailing address
8239 STONES FERRY RD, INDIANAPOLIS, IN 46278-5011
(317) 213-9224

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28177343A
IN

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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