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Andrea Fosburgh
NPI 1841498102 · on the registry since 2007 · sole proprietor
Practice
- Address
- 133 Pine View Dr Apt S
Carmel, IN 46032 - Phone
- (317) 842-7435
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-10
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