Individual
MRS. DEANNA LYN MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 E NORTH ADAMS DR, DECATUR, IN 46733-2739
(260) 724-7121
Mailing address
3803 W US HIGHWAY 224, DECATUR, IN 46733-7502
(260) 547-4695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36000635A
IN
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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