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Individual

LAQUAWANDA BOBBITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
741 W 26TH ST, INDIANAPOLIS, IN 46208-5505
(317) 501-0093
Mailing address
741 W 26TH ST, INDIANAPOLIS, IN 46208-5505
(317) 501-0093

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IN

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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