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1902061229
SALLY A HOUCK
INDIANAPOLIS, IN
NPI
1902061229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71002913A)
Enumeration Date
2008-07-25
Last Update Date
2021-02-02
Business Address
SALLY A HOUCK NP
1701 N SENATE BLVD ROOM 7201
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-5455
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Mailing Address
SALLY A HOUCK NP
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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