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1801981865
MERNEATHA BAZILIO
INDIANAPOLIS, IN
NPI
1801981865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008890)
Enumeration Date
2006-10-04
Last Update Date
2019-06-11
Business Address
Dr. MERNEATHA BAZILIO DDS
6020 E 46TH ST
INDIANAPOLIS, IN 46226-3413
Phone number: 317-545-1044
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Mailing Address
Dr. MERNEATHA BAZILIO DDS
6020 E 46TH ST
INDIANAPOLIS, IN 46226-3413
Phone number: 317-545-1044
Copy
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