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1891162764
TINA NITSOS
INDIANAPOLIS, IN
NPI
1891162764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71005705A)
Enumeration Date
2015-08-27
Last Update Date
2022-12-13
Business Address
-- TINA NITSOS
8931 E 30TH ST
INDIANAPOLIS, IN 46219-1501
Phone number: 317-355-9320
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Mailing Address
-- TINA NITSOS
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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