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1013123397
ANDREA NICOLE SUPE
INDIANAPOLIS, IN
NPI
1013123397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05006867A)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Ms. ANDREA NICOLE SUPE P.T.
7855 S EMERSON AVE SUITE W
INDIANAPOLIS, IN 46237-8668
Phone number: 317-889-5340
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Mailing Address
Ms. ANDREA NICOLE SUPE P.T.
7855 S EMERSON AVE SUITE W
INDIANAPOLIS, IN 46237-8668
Phone number: 317-889-5340
Copy
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