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Individual

JESSICA CHERRON NEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2225 N 1000 W, PARKER CITY, IN 47368-9303
(765) 625-1628
Mailing address
2225 N 1000 W, PARKER CITY, IN 47368-9303
(765) 625-1628

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06003580A
IN

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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