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Individual

CONNIE ROSE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11421 W COUNTY ROAD 75 N, FRENCH LICK, IN 47432-9725
(812) 521-2405
Mailing address
11421 W COUNTY ROAD 75 N, FRENCH LICK, IN 47432-9725
(812) 521-2405

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8917-88-5614
IN

Other

Enumeration date
01/28/2025
Last updated
01/28/2025
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