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1467464214
KHALIL G WAKIM
ANDERSON, IN
NPI
1467464214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IN 01028183A)
Enumeration Date
2006-08-12
Last Update Date
2008-03-18
Business Address
-- KHALIL G WAKIM
2101 JACKSON ST # 105
ANDERSON, IN 46016-4388
Phone number: 765-649-8555
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Mailing Address
-- KHALIL G WAKIM
2001 N GRANVILLE AVE
MUNCIE, IN 47303-2110
Phone number: 765-284-0493
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