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1710459458
360 INTEGRATED MEDICAL CENTER, PC
LA PORTE, IN
NPI
1710459458
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Entity Type
Organization
Authorized Contact
MATTHEW KIRKHAM
Owner
219-326-5100
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
360 INTEGRATED MEDICAL CENTER, PC
2504 MONROE ST
LA PORTE, IN 46350-5241
Phone number: 219-326-5100
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Mailing Address
360 INTEGRATED MEDICAL CENTER, PC
2504 MONROE ST
LA PORTE, IN 46350-5241
Phone number:
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