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1073508032
STACIA L GROOVER MALTBY
BROWNSBURG, IN
NPI
1073508032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01051320A)
Enumeration Date
2005-09-15
Last Update Date
2021-03-05
Business Address
STACIA L GROOVER MALTBY M.D.
1411 S GREEN ST SUITE 130
BROWNSBURG, IN 46112-2049
Phone number: 317-858-4610
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Mailing Address
STACIA L GROOVER MALTBY M.D.
1100 SOUTHFIELD DR SUITE 1370
PLAINFIELD, IN 46168-4498
Phone number: 317-837-5571
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