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1700138492
STAR PSYCHIATRIC SERVICES PC
SOUTH BEND, IN
NPI
1700138492
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Entity Type
Organization
Authorized Contact
KHUTB UDDIN
Owner
574-243-0112
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2012-10-05
Last Update Date
2012-10-26
Business Address
STAR PSYCHIATRIC SERVICES PC
239 N DIXIE WAY
SOUTH BEND, IN 46637-3309
Phone number: 574-243-0112
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Mailing Address
STAR PSYCHIATRIC SERVICES PC
239 N DIXIE WAY
SOUTH BEND, IN 46637-3309
Phone number: 574-243-0112
Copy
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