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Linda Gensaw, NONE

NPI 1194167833 · on the registry since 2013 · sole proprietor

Practice

Address
12406 Cedar Lake Rd
Crown Point, IN 46307
Phone
(773) 818-8060

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana