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1073121091
MCKINZIE GALE EDSTENE
INDIANAPOLIS, IN
NPI
1073121091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005891A)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
MCKINZIE GALE EDSTENE PTA
8905 EVERGREEN AVE
INDIANAPOLIS, IN 46240-2000
Phone number: 317-571-1250
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Mailing Address
MCKINZIE GALE EDSTENE PTA
119 STONEGATE DR
NEW CASTLE, IN 47362-1791
Phone number:
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