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1306816665
BLOOMINGTON ENT PC
BLOOMINGTON, IN
NPI
1306816665
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Entity Type
Organization
Authorized Contact
JESSE PHILLIPS
Owner
812-335-1300
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IN 01040385A)
Enumeration Date
2006-01-26
Last Update Date
2008-04-15
Business Address
BLOOMINGTON ENT PC
1791 W 3RD ST
BLOOMINGTON, IN 47404-5029
Phone number: 812-335-1300
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Mailing Address
BLOOMINGTON ENT PC
1791 W 3RD ST
BLOOMINGTON, IN 47404-5029
Phone number: 812-335-1300
Copy
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