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1104159672
MARLENA VANCLEAVE
INDIANAPOLIS, IN
NPI
1104159672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27062892A)
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
-- MARLENA VANCLEAVE
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
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Mailing Address
-- MARLENA VANCLEAVE
2814 S TINDALL ST
INDIANAPOLIS, IN 46203-5446
Phone number:
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