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Individual

MRS. BARBIE DIANE WINGET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
S.H.A.D

Contact information

Practice address
8219 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 558-0454
(219) 558-0645
Mailing address
8219 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 558-0454
(219) 558-0645

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17001135A
IN

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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