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NPI Profile for MAYOLA L VILLARRUEL in MUNSTER, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI Number | 1376981480 |
|
| Status | Active | |
| Credentials | ANP (Adult Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/11/2013 | |
| Last updated | 06/11/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAYOLA L VILLARRUEL
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MAYOLA L VILLARRUEL, ANP