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Individual

SAMANTHA LEIGH VANDERLAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8424 NAAB RD, INDIANAPOLIS, IN 46260-5918
(317) 872-7396
Mailing address
5958 KIRKENDALL CT, CARMEL, IN 46033-8817

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2020
Last updated
09/14/2023
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