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Individual

JAMIE D DILLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
4601 S 7TH ST, TERRE HAUTE, IN 47802-4522
(812) 232-3281
(812) 235-3758
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-3281
(812) 235-3758

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002640A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00808453
RAILROAD MEDICARE
IN
01
P00834941
RAILROAD MEDICARE
IN
Enumeration date
05/30/2008
Last updated
08/18/2010
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