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1154393049
CHARLES EDWARD HENLEY
INDIANAPOLIS, IN
NPI
1154393049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3508)
Enumeration Date
2006-02-03
Last Update Date
2016-03-14
Business Address
-- CHARLES EDWARD HENLEY DO
1011 MAIN ST
INDIANAPOLIS, IN 46224-6977
Phone number: 317-957-9050
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Mailing Address
-- CHARLES EDWARD HENLEY DO
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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