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1295792760
ROBERT L BACALLAO
INDIANAPOLIS, IN
NPI
1295792760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: IN 01044965)
Enumeration Date
2006-04-28
Last Update Date
2020-11-20
Business Address
ROBERT L BACALLAO M.D.
1481 W 10TH ST # C3004
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2633
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Mailing Address
ROBERT L BACALLAO M.D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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