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Individual

MS. ALLISON R MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4715 BROADWAY ST, INDIANAPOLIS, IN 46205-1853
(317) 384-6160
Mailing address
4715 BROADWAY ST, INDIANAPOLIS, IN 46205-1853
(317) 384-6160

Taxonomy

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

Other

Enumeration date
01/19/2022
Last updated
01/19/2022
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