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1215590831
JORDAN WIEBE
INDIANAPOLIS, IN
NPI
1215590831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
JORDAN WIEBE DO
545 BARNHILL DR. EMERSON HALL 232
INDIANAPOLIS, IN 46202
Phone number: 317-278-0394
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Mailing Address
JORDAN WIEBE DO
545 BARNHILL DR
INDIANAPOLIS, IN 46202-5112
Phone number: 317-278-0394
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