Individual
JUSTIN LOUIS COUETIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
340 W 10TH ST, INDIANAPOLIS, IN 46202-3082
(317) 274-3772
Mailing address
2624 HENDERSON ST, WEST LAFAYETTE, IN 47906-1537
(765) 464-4743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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