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1629457221
ALISE GREEN
INDIANAPOLIS, IN
NPI
1629457221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01080421A)
Enumeration Date
2015-05-28
Last Update Date
2021-09-24
Business Address
ALISE GREEN
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227-0963
Phone number: 317-887-7000
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Mailing Address
ALISE GREEN
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-9312
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