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Individual

TELECIA CANTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 N PARK AVE, INDIANAPOLIS, IN 46205-4250
(463) 224-6708
(463) 224-6295
Mailing address
2501 N PARK AVE, INDIANAPOLIS, IN 46205-4250
(463) 224-6708
(463) 224-6295

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
240167541
IN

Other

Enumeration date
12/03/2024
Last updated
12/03/2024
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