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1497733109
STEPHEN KIRK DOUGLAS
COLUMBUS, IN
NPI
1497733109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IN 71001649A)
Enumeration Date
2006-01-03
Last Update Date
2016-01-28
Business Address
Mr. STEPHEN KIRK DOUGLAS NP
2675 FOXPOINTE DRIVE SUITE B
COLUMBUS, IN 47203
Phone number: 812-375-0000
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Mailing Address
Mr. STEPHEN KIRK DOUGLAS NP
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2972
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