Individual
MICHELE SPRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3762
(765) 463-6302
Mailing address
11766 W HORSESHOE BEND RD, BROOKSTON, IN 47923-7032
(765) 637-3787
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27028998A
IN
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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