Individual
JARED HARRISON DEBRUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1244 N ILLINOIS ST APT 307, INDIANAPOLIS, IN 46202-4305
(425) 373-6804
Mailing address
340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202-3082
(317) 274-8157
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
02/10/2025
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