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1851911945
REGEN 360 INDY LLC
INDIANAPOLIS, IN
NPI
1851911945
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Entity Type
Organization
Authorized Contact
TORI LYNN MATTHEWS
Manager
817-915-9965
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
REGEN 360 INDY LLC
70 E 91ST ST STE 101
INDIANAPOLIS, IN 46240-1550
Phone number: 312-972-8307
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Mailing Address
REGEN 360 INDY LLC
14251 LANGHAM DR
CARMEL, IN 46074-4401
Phone number: 312-972-8307
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