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1578569695
J TIMOTHY NICHOLS
INDIANAPOLIS, IN
NPI
1578569695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02000537A)
Enumeration Date
2005-06-23
Last Update Date
2015-06-11
Business Address
-- J TIMOTHY NICHOLS D.O.
101 N GIRLS SCHOOL RD
INDIANAPOLIS, IN 46214-3963
Phone number: 317-247-0201
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Mailing Address
-- J TIMOTHY NICHOLS D.O.
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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