JACK TIAHNYBIK

INDIANAPOLIS, IN
NPI1114506433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-05
Last Update Date2021-04-05
Business Address
JACK TIAHNYBIK DO
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686
Mailing Address
JACK TIAHNYBIK DO
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number:
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