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Individual

ANTOINETTE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6158 NALON CT, INDIANAPOLIS, IN 46224-4546
(317) 742-2340
Mailing address
6158 NALON CT APT D, INDIANAPOLIS, IN 46224-4546

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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