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Individual

MRS. ASHLEY NICOLE YEARLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
506 S WASHINGTON ST, MARION, IN 46953-1961
(765) 662-6648
Mailing address
1817 COLONIAL DR, ROCHESTER, IN 46975-8958
(765) 210-7614

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003729A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201198550
IN
Enumeration date
06/07/2012
Last updated
11/02/2015
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