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Individual

MRS. REBECCA SUE WAMPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 E. NORTH ST, BOURBON, IN 46504-1416
(574) 342-0431
Mailing address
305 E NORTH ST, BOURBON, IN 46504-1614
(574) 342-0431

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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