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1629812011
THEODORE COLE BAITY
GREENWOOD, IN
NPI
1629812011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: IN 67036483A)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
THEODORE COLE BAITY
1290 N STATE ROAD 135
GREENWOOD, IN 46142-1003
Phone number: 317-709-8666
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Mailing Address
THEODORE COLE BAITY
8416 LISMORE EAST DR APT C
INDIANAPOLIS, IN 46227-9323
Phone number: 317-709-8666
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