Individual
MRS. MARY JANE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1021 E 300 N, HUNTINGTON, IN 46750-9510
(260) 414-8246
Mailing address
1021 E 300 N, HUNTINGTON, IN 46750-9510
(260) 414-8246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28159357A
IN
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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