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Individual

DIANE L BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPC

Contact information

Practice address
567 N 5TH ST, UAP/ISU STUDENT HEALTH CENTER, TERRE HAUTE, IN 47809-1903
(812) 237-3883
(812) 237-8246
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3157
(812) 242-3861

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000560A
IN

Other

Enumeration date
08/18/2010
Last updated
10/15/2010
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