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Individual

VENEDA K VANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
(812) 331-0196
Mailing address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
(812) 331-0196

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
71001575A
IN
363L00000X
Nurse Practitioner
Primary
71001575A
IN

Other

Enumeration date
08/30/2006
Last updated
02/02/2024
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