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Individual

DAVID LEE WELLS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6585 BRANCHES DR, BROWNSBURG, IN 46112-7445
(812) 261-3175
Mailing address
211 E MAIN ST STE 5, BROWNSBURG, IN 46112-1256
(812) 261-3175

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17001479A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
01/29/2018
Last updated
08/17/2022
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