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1649412560
LARA MITCHELL TATE
INDIANAPOLIS, IN
NPI
1649412560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10001051)
Enumeration Date
2009-03-25
Last Update Date
2023-11-30
Business Address
Mrs. LARA MITCHELL TATE P.A.-C
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260-2006
Phone number: 317-338-4303
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Mailing Address
Mrs. LARA MITCHELL TATE P.A.-C
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260-2006
Phone number:
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