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1639882129
LILLIE NICOLE ROSS
INDIANAPOLIS, IN
NPI
1639882129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10004164A)
Enumeration Date
2022-12-30
Last Update Date
2023-11-15
Business Address
LILLIE NICOLE ROSS PA-C
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906
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Mailing Address
LILLIE NICOLE ROSS PA-C
PO BOX 778912
CHICAGO, IL 60677-8912
Phone number: 317-777-6435
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