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1326217563
RONALD L BANTA, DPM, INC
INDIANAPOLIS, IN
NPI
1326217563
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Entity Type
Organization
Authorized Contact
RONALD L BANTA
President
317-843-2613
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date
2008-02-21
Last Update Date
2008-08-18
Business Address
RONALD L BANTA, DPM, INC
3077 E 98TH ST
INDIANAPOLIS, IN 46280-2940
Phone number: 317-843-2613
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Mailing Address
RONALD L BANTA, DPM, INC
3077 E 98TH ST
INDIANAPOLIS, IN 46280-2940
Phone number: 317-843-2613
Copy
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