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1023886488
HOOSIER WELLNESS PROVIDERS, LLC
BLOOMINGTON, IN
NPI
1023886488
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Entity Type
Organization
Authorized Contact
KIRILL VESSELOV
President
561-635-2400
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
HOOSIER WELLNESS PROVIDERS, LLC
421 W 1ST ST
BLOOMINGTON, IN 47403-2403
Phone number: 561-635-2400
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Mailing Address
HOOSIER WELLNESS PROVIDERS, LLC
2925 10TH AVE N
PALM SPRINGS, FL 33461-3000
Phone number:
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