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1043700685
DESTINY J HAUSE
INDIANAPOLIS, IN
NPI
1043700685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
Dr. DESTINY J HAUSE MD
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number: 404-822-4779
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Mailing Address
Dr. DESTINY J HAUSE MD
1447 W FRY ST APT 3
CHICAGO, IL 60642-5431
Phone number: 404-822-4779
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