Individual
CHRISTINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
146 SHAMROCK CIR, PENDLETON, IN 46064-8556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27043803A
IN
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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