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1235828385
IDEAL HEALTH CLINIC LLC
INDIANAPOLIS, IN
NPI
1235828385
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Entity Type
Organization
Authorized Contact
SCHANI MANUNGO
Owner
317-730-3956
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-05-04
Last Update Date
2024-03-18
Business Address
IDEAL HEALTH CLINIC LLC
3881 EAGLE CREEK PKWY STE A
INDIANAPOLIS, IN 46254-5600
Phone number: 317-730-3956
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Mailing Address
IDEAL HEALTH CLINIC LLC
3881 EAGLE CREEK PKWY STE A
INDIANAPOLIS, IN 46254-5600
Phone number: 317-969-8332
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