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Individual

MRS. GEMMA LORNA DAQUIPA MAHINAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1282 MAIN ST, MOUNT VERNON, IN 47620-1365
(812) 307-1089
(812) 307-1177
Mailing address
3325 YALE DR, EVANSVILLE, IN 47711-7305
(502) 552-1422

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007883A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155238
IN
Enumeration date
06/29/2007
Last updated
03/15/2017
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