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Individual

EUNICE OKOLOCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2054 GRANT ST, GARY, IN 46404-3060
(219) 949-7540
Mailing address
1314 FITZGERALD DR, MUNSTER, IN 46321-4204
(219) 924-1249

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-307615
IL
163W00000X
Registered Nurse
28126804A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003782
IN

Other

Enumeration date
07/19/2007
Last updated
11/21/2011
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