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1285145433
KDG INDIANA TWO LLC
SEYMOUR, IN
NPI
1285145433
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Entity Type
Organization
Authorized Contact
ADRIENNE NICHOLSON
Financial Coordinator
812-523-1860
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
KDG INDIANA TWO LLC
321 W BRUCE ST STE A
SEYMOUR, IN 47274-2319
Phone number: 812-523-1860
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Mailing Address
KDG INDIANA TWO LLC
PO BOX 305
SEYMOUR, IN 47274-0305
Phone number:
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