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Individual

MOLLY ANN FENNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
200 S MERIDIAN ST, INDIANAPOLIS, IN 46225-1055
(317) 637-4343
(317) 637-4189
Mailing address
5430 WASHINGTON BLVD, INDIANAPOLIS, IN 46220-3028
(317) 252-4831
(317) 252-4831

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
71000271A
IN

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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