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Individual

GEORGETTE OLIVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA-P

Contact information

Practice address
807 W 3RD ST APT 7, MISHAWAKA, IN 46544-1771
(317) 522-1170
Mailing address
807 W 3RD ST APT 7, MISHAWAKA, IN 46544-1771
(317) 522-1170

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
MAPC.PC.60666666
WA

Other

Enumeration date
07/29/2026
Last updated
07/29/2026
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