Individual
MS. ANN G PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E. WAYNE ST., SOUTH BEND, IN 46615
(574) 282-1005
(574) 282-1005
Mailing address
1516 E. WAYNE ST., SOUTH BEND, IN 46615
(574) 282-1005
(574) 282-1005
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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