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Individual

ALYSSA GOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2995
(812) 631-6294
Mailing address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2995

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IN

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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