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Organization

IEMA INDIANA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY MANNINO MBA (COO)
(844) 466-6827
Entity
Organization

Contact information

Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(844) 466-6827
Mailing address
9888 W BELLEVIEW AVE # 5114, LITTLETON, CO 80123-2101
(844) 466-6827

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/11/2018
Last updated
06/02/2021
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