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Individual

MACY CORNELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3697
(317) 840-9320
Mailing address
552 CLEARWATER BLVD, WHITELAND, IN 46184-1918
(317) 840-9320

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/22/2025
Last updated
08/04/2025
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