Individual
MRS. DEBORAH HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 472-9683
Mailing address
14471 BLACK FARM DR, NOBLESVILLE, IN 46060-7264
(317) 379-2491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27025664A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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