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1376660019
ETHELBERT MENCHAVEZ
INDIANAPOLIS, IN
NPI
1376660019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: MO 2005001152)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- ETHELBERT MENCHAVEZ
5980 W 71ST ST SUITE 201
INDIANAPOLIS, IN 46278-2711
Phone number: 317-388-0800
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Mailing Address
-- ETHELBERT MENCHAVEZ
5980 W 71ST ST SUITE 201
INDIANAPOLIS, IN 46278-2711
Phone number: 317-388-0800
Copy
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