Organization
VALL PROFESSIONALS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T.J. WARREN (CEO)
(765) 828-1003
Entity
Organization
Contact information
Practice address
777 S MAIN ST, CLINTON, IN 47842-2493
(765) 828-1003
Mailing address
777 S MAIN ST, CLINTON, IN 47842-2493
(765) 828-1003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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