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1265769780
JEANNIE M VICKERY
INDIANAPOLIS, IN
NPI
1265769780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: IN 12007392A)
Enumeration Date
2009-11-04
Last Update Date
2016-11-03
Business Address
JEANNIE M VICKERY DDS
1121 W MICHIGAN STREET DS307B
INDIANAPOLIS, IN 46202-5186
Phone number: 317-278-3632
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Mailing Address
JEANNIE M VICKERY DDS
1121 W MICHIGAN STREET DS307B
INDIANAPOLIS, IN 46202-5186
Phone number: 317-278-3632
Copy
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