Individual
NATHAN REEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(765) 677-1674
Mailing address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(765) 677-1674
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
36002650A
IN
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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