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1275179517
PROACTIVE - MASE MONTICELLO
MONTICELLO, IN
NPI
1275179517
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Entity Type
Organization
Authorized Contact
ASHLEY LOWE
Fiance Manager
949-356-6706
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
PROACTIVE - MASE MONTICELLO
303 N MAIN ST
MONTICELLO, IN 47960-2134
Phone number: 812-645-1892
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Mailing Address
PROACTIVE - MASE MONTICELLO
303 N MAIN ST
MONTICELLO, IN 47960-2134
Phone number:
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