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Individual

MRS. REBECCA J HAAGSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6801 LAKE PLAZA DR, SUITE B214, INDIANAPOLIS, IN 46220-4061
(317) 578-8937
Mailing address
9996 S CHAPEL HILL RD, HELTONVILLE, IN 47436-9602
(812) 837-9213

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27040263A
IN

Other

Enumeration date
03/24/2007
Last updated
07/08/2007
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