Individual
OLABIMPE CYNTHIA FASUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3438 W GLENARM DR, INDIANAPOLIS, IN 46224
(304) 319-1366
Mailing address
3438 W GLENARM DR, INDIANAPOLIS, IN 46224
(304) 319-1366
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9370519152
IN
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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