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1306022751
LISSA MAE G ISON
INDIANAPOLIS, IN
NPI
1306022751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IN 05009472A)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
-- LISSA MAE G ISON
5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
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Mailing Address
-- LISSA MAE G ISON
5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
Copy
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