GRACE JACQUELINE CLEVENGER

INDIANAPOLIS, IN
NPI1962221937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004558A)
Enumeration Date2024-10-07
Last Update Date2024-10-31
Business Address
GRACE JACQUELINE CLEVENGER PA
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-274-4779
Mailing Address
GRACE JACQUELINE CLEVENGER PA
PO BOX 778912
CHICAGO, IL 60677-8912
Phone number: 317-777-6435
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