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1265986301
JASON KEITH GANTT
INDIANAPOLIS, IN
NPI
1265986301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001923A)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
-- JASON KEITH GANTT LMFT
7425 E 86TH ST
INDIANAPOLIS, IN 46256-1207
Phone number: 317-474-6448
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Mailing Address
-- JASON KEITH GANTT LMFT
129 E LARRY LN
SCOTTSBURG, IN 47170-6773
Phone number: 812-727-3812
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