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1730753294
HOOSIER WELLNESS PROVIDERS, LLC
BLOOMINGTON, IN
NPI
1730753294
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Entity Type
Organization
Authorized Contact
KIRILL VESSELOV
Manager
561-396-5849
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2021-05-18
Last Update Date
2024-12-06
Business Address
HOOSIER WELLNESS PROVIDERS, LLC
637 S WALKER ST
BLOOMINGTON, IN 47403-2176
Phone number: 561-635-2400
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Mailing Address
HOOSIER WELLNESS PROVIDERS, LLC
2925 10TH AVE N
PALM SPRINGS, FL 33461-3000
Phone number:
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