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Individual

CHRISTIAN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 N SHADELAND AVE STE G1A, INDIANAPOLIS, IN 46219-4817
(317) 947-7429
(317) 947-7437
Mailing address
11722 STILL HAVEN CT, INDIANAPOLIS, IN 46229-3974
(317) 646-6734
(317) 947-7437

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300047661
IN
Enumeration date
09/20/2019
Last updated
01/31/2024
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