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1164714945
KATHRYN K BONGO
INDIANAPOLIS, IN
NPI
1164714945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL 23737)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- KATHRYN K BONGO
5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
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Mailing Address
-- KATHRYN K BONGO
5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
Copy
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