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1871797134
ELLEN FAN
INDIANAPOLIS, IN
NPI
1871797134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01063338A)
Enumeration Date
2007-06-12
Last Update Date
2024-12-12
Business Address
ELLEN FAN MD
6002 E 38TH ST
INDIANAPOLIS, IN 46226-5614
Phone number: 317-880-6002
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Mailing Address
ELLEN FAN MD
8910 PURDUE RD STE.500
INDIANAPOLIS, IN 46268-6100
Phone number:
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