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Individual

MRS. JENNIFER IVEZIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
201 S WEST ST, CROWN POINT, IN 46307-3907
(219) 398-8744
Mailing address
315 CENTER ST, HOBART, IN 46342-4429
(219) 398-8744

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104029
IN

Other

Enumeration date
01/17/2014
Last updated
01/17/2014
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