Individual
CONNIE HARBESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 BARTHOLOMEW BLVD, JEFFERSONVILLE, IN 47130-7477
(502) 644-3928
Mailing address
224 BARTHOLOMEW BLVD, JEFFERSONVILLE, IN 47130-7477
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27013711A
IN
Other
Enumeration date
01/28/2016
Last updated
02/01/2016
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