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Individual

GLADYS SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5818 COLUMBIA AVE, HAMMOND, IN 46320-2607
(219) 261-5451
Mailing address
5818 COLUMBIA AVE, HAMMOND, IN 46320-2607

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28223517A
IN

Other

Enumeration date
05/16/2023
Last updated
12/31/2025
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