Individual
DR. NICHOLE LYNN BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
777 S MAIN ST, SUITE 100, CLINTON, IN 47842-2493
(765) 828-1003
Mailing address
703 W PARK ST, CAYUGA, IN 47928-8207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012471A
IN
Other
Enumeration date
05/18/2016
Last updated
11/10/2017
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