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1700605557
GRAYSON PURTLEBAUGH
INDIANAPOLIS, IN
NPI
1700605557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
GRAYSON PURTLEBAUGH
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
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Mailing Address
GRAYSON PURTLEBAUGH
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
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