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1841714425
COREY KENNETH BOEMER
INDIANAPOLIS, IN
NPI
1841714425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 1143433)
Enumeration Date
2017-07-26
Last Update Date
2024-05-08
Business Address
Mr. COREY KENNETH BOEMER PA
1500 N RITTER AVE
INDIANAPOLIS, IN 46219-3027
Phone number: 317-355-5041
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Mailing Address
Mr. COREY KENNETH BOEMER PA
2035 BROADWAY ST
INDIANAPOLIS, IN 46202-1760
Phone number: 314-779-8531
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