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1780631812
ST JOSEPH PRIMARY LLC
GREENTOWN, IN
NPI
1780631812
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Entity Type
Organization
Authorized Contact
ANDREW KELLAR
Regional Practice Administrator
765-457-8381
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
Enumeration Date
2006-05-27
Last Update Date
2007-11-16
Business Address
ST JOSEPH PRIMARY LLC
712 W MAIN ST
GREENTOWN, IN 46936-1045
Phone number: 765-628-3317
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Mailing Address
ST JOSEPH PRIMARY LLC
712 W MAIN ST
GREENTOWN, IN 46936-1045
Phone number: 765-628-3317
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