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Individual

MR. GARRY LEE ZEMBOWER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
6508 W SWEET CREEK DR, NEW PALESTINE, IN 46163-9567
(317) 529-8310
Mailing address
6508 W SWEET CREEK DR, NEW PALESTINE, IN 46163-9567
(317) 529-8310

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27040913A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27040913A
PRACTICAL NURSING LICENSE
IN
Enumeration date
06/07/2007
Last updated
07/08/2007
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