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1811922792
THE LITTLE CLINIC OF INDIANA LLC
JEFFERSONVILLE, IN
NPI
1811922792
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Entity Type
Organization
Authorized Contact
BRADLEY PRUITT
Secretary
502-301-7408
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2006-07-11
Last Update Date
2020-08-22
Business Address
THE LITTLE CLINIC OF INDIANA LLC
2956 E 10TH ST
JEFFERSONVILLE, IN 47130-5914
Phone number: 812-284-2488
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Mailing Address
THE LITTLE CLINIC OF INDIANA LLC
9721 ORMSBY STATION RD STE 106
LOUISVILLE, KY 40223-4095
Phone number: 502-423-1103
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