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1821838251
VANESSA D GORHAM
INDIANAPOLIS, IN
NPI
1821838251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: IN 24-016822-1)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
VANESSA D GORHAM
5335 N TACOMA AVE STE 13
INDIANAPOLIS, IN 46220-3648
Phone number: 317-360-2421
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Mailing Address
VANESSA D GORHAM
11653 STOEPPELWERTH DR
INDIANAPOLIS, IN 46229-4244
Phone number: 317-360-2421
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