Individual
MRS. BRANDY CHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 LANE 587AA LAKE JAMES, FREMONT, IN 46737-9001
(317) 504-5974
Mailing address
140 LANE 587AA LAKE JAMES, FREMONT, IN 46737-9001
(317) 504-5974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03550
OH
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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