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Ms. Linda Zoraida Gensaw, NONE
Private Vehicle in Crown Point, Indiana
NPI 1194167833

Linda Zoraida Gensaw is a Private Vehicle based in Crown Point, IN. Linda Zoraida Gensaw practices in Crown Point, IN and has the professional credentials of NONE. The NPI Number for Linda Zoraida Gensaw is 1194167833 and holds a License No. 1830-23-8598 (Indiana).

The current practice location address for Linda Zoraida Gensaw is 12406 Cedar Lake Rd, Crown Point, IN and can be reached out via phone at 773-818-8060.

Location: 12406 Cedar Lake Rd, Crown Point, IN, 46307-8736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194167833
Provider Name
Linda Zoraida Gensaw
Credential
NONE
Provider Entity Type
Individual
Gender
Female
Address
12406 Cedar Lake Rd, Crown Point, IN, 46307-8736
Phone Number
773-818-8060
Fax Number
Provider Enumeration Date
07/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101785485099 05 IN
institution
Provider Business Practice Location Address Details
Address
12406 Cedar Lake Rd
City
Crown Point
State
Indiana
Zip
46307-8736
Phone Number
773-818-8060
Fax Number
person
Provider Business Mailing Address Details
Address
12406 Cedar Lake Rd
City
Crown Point
State
Indiana
Zip
46307-8736
Phone Number
773-818-8060
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
1830-23-8598 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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