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Individual

CHAQUANA COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2235 E WERGES AVE, INDIANAPOLIS, IN 46237-1062
(317) 998-0065
Mailing address
2235 E WERGES AVE, INDIANAPOLIS, IN 46237-1062
(317) 998-0065

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
IN
343900000X
Non-emergency Medical Transport (VAN)
Primary
IN

Other

Enumeration date
03/29/2021
Last updated
07/02/2021
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