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1104574896
EBONY JACKS
INDIANAPOLIS, IN
NPI
1104574896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2022-03-13
Last Update Date
2022-06-07
Business Address
EBONY JACKS
1011 N ARLINGTON AVE
INDIANAPOLIS, IN 46219-3223
Phone number: 260-508-6752
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Mailing Address
EBONY JACKS
1011 N ARLINGTON AVE
INDIANAPOLIS, IN 46219-3223
Phone number:
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