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1760541718
NEVIN SHANE MCIVOR
INDIANAPOLIS, IN
NPI
1760541718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003119A)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- NEVIN SHANE MCIVOR M.D.
6985 W 38TH ST
INDIANAPOLIS, IN 46254-3916
Phone number: 317-243-0028
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Mailing Address
-- NEVIN SHANE MCIVOR M.D.
5455 HARRISON PARK LN
INDIANAPOLIS, IN 46216-2245
Phone number: 317-254-6480
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