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Individual

MRS. MARY JANE SCHILDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1510 W FRANKLIN ST, SUITE A, EVANSVILLE, IN 47710-1032
(812) 424-0223
(812) 424-0226
Mailing address
2801 ALLENS LN, EVANSVILLE, IN 47720-1409
(812) 303-2717

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27042629A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27042629A
LICENSED PRACTICAL NURSE
IN
Enumeration date
04/11/2007
Last updated
07/08/2007
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