Individual
JOSEPH A AGUNBIADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 340-2599
Mailing address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28276124A
IN
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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