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1164792560
BIOIDENTICAL LLC
INDIANAPOLIS, IN
NPI
1164792560
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Doing Business As
MYBIO
Entity Type
Organization
Authorized Contact
BALA RANGASWAMI
Owner
317-436-7469
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2012-01-03
Last Update Date
2012-01-03
Business Address
BIOIDENTICAL LLC
4725 STATESMEN DR
INDIANAPOLIS, IN 46250-5644
Phone number: 317-436-7469
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Mailing Address
BIOIDENTICAL LLC
4725 STATESMEN DR
INDIANAPOLIS, IN 46250-5644
Phone number: 317-436-7469
Copy
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