MARLON JOSE MONTENEGRO

NEW ALBANY, IN
NPI1588310734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: WI  20-931)
Additional Taxonomies208600000X Surgery
(Licence: WI  20-391)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
MARLON JOSE MONTENEGRO CSFA
2125 STATE ST STE 6
NEW ALBANY, IN 47150-4972
Phone number: 812-948-7417
Mailing Address
MARLON JOSE MONTENEGRO CSFA
8338 WABASH AVE
TERRE HAUTE, IN 47803-3982
Phone number: 138-630-2394
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