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1114482122
PRO SURGE INDY LLC
INDIANAPOLIS, IN
NPI
1114482122
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Entity Type
Organization
Authorized Contact
KRISTY MORGAN
Member
623-935-9920
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2019-02-04
Last Update Date
2019-03-06
Business Address
PRO SURGE INDY LLC
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250-5645
Phone number: 480-930-4018
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Mailing Address
PRO SURGE INDY LLC
2413 N MERIDIAN ST
INDIANAPOLIS, IN 46208-5854
Phone number:
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