Individual
MARIESA JANAE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3368
Mailing address
1601 E EDWARDS AVE, INDIANAPOLIS, IN 46227-3763
(765) 586-3753
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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