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Diane Dubose

NPI 1780528687 · on the registry since 2026 · sole proprietor

Practice

Address
1401 Leonard St
Indianapolis, IN 46203
Phone
(213) 464-7035

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-20

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