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1518941863
AUDREY J MAMINTA
INDIANAPOLIS, IN
NPI
1518941863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01045698A)
Enumeration Date
2005-11-30
Last Update Date
2007-10-19
Business Address
-- AUDREY J MAMINTA MD
2001 W 86TH ST 3N MEDICAL EDUCATION
INDIANAPOLIS, IN 46260-1902
Phone number: 317-338-2172
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Mailing Address
-- AUDREY J MAMINTA MD
10330 N MERIDIAN ST SUITE 201
INDIANAPOLIS, IN 46290-1024
Phone number:
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