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1013098342
KIMBERLY SUZZANE BLACKWELL
INDIANAPOLIS, IN
NPI
1013098342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000609A)
Enumeration Date
2006-10-17
Last Update Date
2021-09-10
Business Address
KIMBERLY SUZZANE BLACKWELL PA-C
8326 NAAB RD
INDIANAPOLIS, IN 46260-1920
Phone number: 317-871-0000
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Mailing Address
KIMBERLY SUZZANE BLACKWELL PA-C
8326 NAAB RD
INDIANAPOLIS, IN 46260-1920
Phone number: 317-871-0000
Copy
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