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1124633029
KANEISHA BURRUS
INDIANAPOLIS, IN
NPI
1124633029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: IN 20014891)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
KANEISHA BURRUS
10853 MISTFLOWER WAY
INDIANAPOLIS, IN 46235-3563
Phone number: 317-406-1299
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Mailing Address
KANEISHA BURRUS
10853 MISTFLOWER WAY
INDIANAPOLIS, IN 46235-3563
Phone number: 317-406-1299
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