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Individual

SHONTAMAE BURNETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10285 KIOWA DR, INDIANAPOLIS, IN 46235-2420
(317) 653-0084
Mailing address
10285 KIOWA DR, INDIANAPOLIS, IN 46235-2420
(317) 653-0084

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
25-018541
IN

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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