DEPARTMENT OF INSURANCE
Course Attendance Information
PR00411: Anthem Blue Cross & Blue Shield
Experior Provider Number: S12618 
Provider Type: Independent
Certification Date: 8/20/1997

Address: 846 N. Senate Ave. Ste. 107
Indianapolis, IN 46202
Contact: Sue Sudhoff
Telephone: 317-960-3490
Status: Active
Termination Date: N/A
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