Individual
CONNIE PUMPELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12092 N PADDOCK RD, CAMBY, IN 46113-8549
(317) 831-9781
Mailing address
12092 N PADDOCK RD, CAMBY, IN 46113-8549
(317) 831-9781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000621A
IN
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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