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1831701911
LISA THANH XUAN LE
INDIANAPOLIS, IN
NPI
1831701911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22007569A)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
LISA THANH XUAN LE MA; CCC-SLP
6925 PARKDALE PL
INDIANAPOLIS, IN 46254-4673
Phone number: 855-324-0885
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Mailing Address
LISA THANH XUAN LE MA; CCC-SLP
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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