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: Attn Sales CE Processing
220 Virginia Ave
Indianapolis, IN 46204
Contact: Sue Sudhoff
Telephone: 317-960-3490
Status: Active
Termination Date: N/A
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