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1194791509
ANDERSON UROLOGIC ASSOCIATES, P.C.
ANDERSON, IN
NPI
1194791509
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Entity Type
Organization
Authorized Contact
RANDALL CHARLES BLAKE
President
765-643-0766
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 50002645A)
Enumeration Date
2006-02-24
Last Update Date
2020-08-22
Business Address
ANDERSON UROLOGIC ASSOCIATES, P.C.
141 W 22ND ST SUITE 213
ANDERSON, IN 46016-4304
Phone number: 765-643-0766
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Mailing Address
ANDERSON UROLOGIC ASSOCIATES, P.C.
141 W 22ND ST SUITE 213
ANDERSON, IN 46016-4304
Phone number: 765-643-0766
Copy
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