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Individual

MRS. STEPHANIE B GURNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCGC

Contact information

Practice address
975 W WALNUT ST, IB 130, INDIANAPOLIS, IN 46202-5181
(317) 274-3985
(317) 278-0936
Mailing address
975 W WALNUT ST, IB 130, INDIANAPOLIS, IN 46202-5181
(317) 274-3985
(317) 278-0936

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000024A
IN

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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