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Individual

ELENA MAKARENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
521 E 86TH AVE STE H, MERRILLVILLE, IN 46410-6236
(219) 323-3311
Mailing address
10132 DOUBLETREE DR N, CROWN POINT, IN 46307-9362
(219) 308-7483

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/04/2022
Last updated
01/04/2022
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