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NPI Provider: 1619972650
Contact Name: VALENTIJN M LYNNETTE
Position: PARTNER
Phone: (574) 262-0313
Bristol Street Pediatrics, P.c. Information:
Bristol Street Pediatrics, P.c. organization have npi 1619972650, taxonomy code is 208000000X with license number is 1037473 in . This Business address located in 1627 E Bristol St, Elkhart, IN 46514 Indiana. Get directions of Bristol Street Pediatrics, P.c..
Practice Location
Address: 1627 E Bristol St, Elkhart, IN 46514
Phone: (574) 262-0313
Business Location
Address: 1627 E Bristol St, Elkhart, IN 46514
Phone: (574) 262-0313
Fax: (574) 262-8163
Taxonomy
Taxonomy Code: 208000000X
License Number: 1037473
License Number of State: IN
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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