Individual
EVAN BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
2549 E EASTGATE LN APT 106, BLOOMINGTON, IN 47408-3913
(812) 457-4407
Mailing address
2549 E EASTGATE LN APT 106, BLOOMINGTON, IN 47408-3913
(812) 457-4407
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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