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1053715284
SCOTT BROADNAX
INDIANAPOLIS, IN
NPI
1053715284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- SCOTT BROADNAX
8063 MADISON AVE # 246
INDIANAPOLIS, IN 46227-6001
Phone number: 317-750-0435
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Mailing Address
-- SCOTT BROADNAX
8063 MADISON AVE # 246
INDIANAPOLIS, IN 46227-6001
Phone number: 317-750-0435
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