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1164124178
MATTHEW K INDRA
MADISON, WI
NPI
1164124178
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Former Name
MATTHEW K CHILTON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 190545-30)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
MATTHEW K INDRA RN
1832 SUMMIT AVE
MADISON, WI 53726-4075
Phone number: 608-358-4996
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Mailing Address
MATTHEW K INDRA RN
1832 SUMMIT AVE
MADISON, WI 53726-4075
Phone number: 608-358-4996
Copy
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