Individual
MRS. GABRIELLE ELIZABETH HOGABOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
310 W MICHIGAN ST, APT 238, INDIANAPOLIS, IN 46202-3226
(561) 371-7959
(561) 371-7959
Mailing address
310 W MICHIGAN ST, APT 238, INDIANAPOLIS, IN 46202-3226
(561) 371-7959
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3718
TX
Other
Enumeration date
05/20/2011
Last updated
03/10/2015
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