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Individual

GLORIA C JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1717 W 86TH ST, SUITE 130, INDIANAPOLIS, IN 46260-2050
(317) 876-1112
(317) 876-2187
Mailing address
1717 W 86TH ST, SUITE 130, INDIANAPOLIS, IN 46260-2050
(317) 876-1112
(317) 876-2187

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001957A
IN

Other

Enumeration date
03/14/2007
Last updated
09/05/2013
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