Individual
MR. HOUSSEIN O GHOULAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19453 AMBER WAY, NOBLESVILLE, IN 46060-8389
(317) 809-1055
Mailing address
19453 AMBER WAY, NOBLESVILLE, IN 46060-8389
(317) 809-1055
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0430-82-9020
IN
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
About Stedi
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