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1578178331
MAKENZIE E STALETS
INDIANAPOLIS, IN
NPI
1578178331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10003081A)
Enumeration Date
2020-09-09
Last Update Date
2024-03-15
Business Address
MAKENZIE E STALETS PA-C
8205 E 56TH ST STE 250
INDIANAPOLIS, IN 46216-1097
Phone number: 317-353-8985
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Mailing Address
MAKENZIE E STALETS PA-C
9011 N MERIDIAN ST STE 225
INDIANAPOLIS, IN 46260-5365
Phone number: 317-574-4747
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