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1003586934
DERRIS ROSS
INDIANAPOLIS, IN
NPI
1003586934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
DERRIS ROSS
3939 N ARLINGTON AVE
INDIANAPOLIS, IN 46226-4816
Phone number: 463-222-7550
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Mailing Address
DERRIS ROSS
8901 E 42ND ST
INDIANAPOLIS, IN 46226-5515
Phone number: 463-222-7550
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