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1023157559
ERIC LAMONT SANDERS
INDIANAPOLIS, IN
NPI
1023157559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: IN 200844190A)
Enumeration Date
2007-02-05
Last Update Date
2007-07-09
Business Address
Mr. ERIC LAMONT SANDERS
4904 HILLSIDE AVE
INDIANAPOLIS, IN 46205-1442
Phone number: 317-259-1911
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Mailing Address
Mr. ERIC LAMONT SANDERS
4904 HILLSIDE AVE
INDIANAPOLIS, IN 46205-1442
Phone number: 317-259-1911
Copy
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