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Individual

DORNICA MAKAMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
101 W 61ST AVE, HOBART, IN 46342-6449
(219) 945-9830
(219) 945-9541
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3009495
KY
363LF0000X
Family Nurse Practitioner
Primary
71005957A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201336190
IN
05
7100373320
KY
Enumeration date
07/20/2015
Last updated
02/21/2023
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