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1245283209
KENNETH A. JONGSMA
INDIANAPOLIS, IN
NPI
1245283209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 02003070A)
Enumeration Date
2006-05-18
Last Update Date
2022-10-11
Business Address
KENNETH A. JONGSMA D.O.
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-731-0050
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Mailing Address
KENNETH A. JONGSMA D.O.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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