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1457943029
INDIANA MEDICAL WEIGHT LOSS & WELLNESS CENTER LLC
RICHMOND, IN
NPI
1457943029
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Entity Type
Organization
Authorized Contact
LANNY JAY BRAFF
Member
631-445-5063
Organization Subpart ?
No
Primary Taxonomy
207RB0002X Internal Medicine, Bariatric Medicine
Enumeration Date
2021-02-05
Last Update Date
2021-12-02
Business Address
INDIANA MEDICAL WEIGHT LOSS & WELLNESS CENTER LLC
1605 CHESTER BLVD
RICHMOND, IN 47374-1610
Phone number: 765-373-8253
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Mailing Address
INDIANA MEDICAL WEIGHT LOSS & WELLNESS CENTER LLC
4536 NW BOXWOOD DR
CORVALLIS, OR 97330-3385
Phone number: 631-445-5063
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