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Individual

CAROLE JANE BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
632 W 43RD ST, INDIANAPOLIS, IN 46208-3752
(317) 927-9006

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28120609A
IN

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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