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1013034628
FIVE J WOODALL MEDICAL DIRECTOR
ANDERSON, IN
NPI
1013034628
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Entity Type
Organization
Authorized Contact
JOHN W WOODALL
Owner
765-642-8446
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01022907A)
Enumeration Date
2007-03-26
Last Update Date
2010-06-21
Business Address
FIVE J WOODALL MEDICAL DIRECTOR
299 E 360 N
ANDERSON, IN 46012-9659
Phone number: 765-642-8446
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Mailing Address
FIVE J WOODALL MEDICAL DIRECTOR
299 E 360 N
ANDERSON, IN 46012-9659
Phone number: 765-642-8446
Copy
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