Individual
BOBBI LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8115 KNUE RD, INDIANAPOLIS, IN 46250-1936
(317) 841-4400
Mailing address
409 S CRAWFORD ST, MARTINSVILLE, IN 46151-2317
(317) 796-2150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27056284A
IN
Other
Enumeration date
05/03/2007
Last updated
04/06/2017
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