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1811149842
TISHA NICOLE VANCUREN
INDIANAPOLIS, IN
NPI
1811149842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22004613A)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
MRS. TISHA NICOLE VANCUREN CCC-SLP
1060 E 86TH ST SUITE 65C
INDIANAPOLIS, IN 46240-1863
Phone number: 317-696-4551
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Mailing Address
MRS. TISHA NICOLE VANCUREN CCC-SLP
10452 DARK STAR DR
INDIANAPOLIS, IN 46234-9853
Phone number: 317-696-4874
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