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Individual

ANITA S EASTERDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRT, CPFT, C-AE-C

Contact information

Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 677-5138
(765) 677-5138
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 677-5138
(765) 677-5138

Taxonomy

Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
1081637
IN
2472E0500X
EEG Technician
IN

Other

Enumeration date
01/07/2022
Last updated
02/09/2022
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