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1902548712
MICHAEL PENG
INDIANAPOLIS, IN
NPI
1902548712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
MICHAEL PENG
1160 W MICHIGAN ST # 212
INDIANAPOLIS, IN 46202-5209
Phone number: 317-944-2020
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Mailing Address
MICHAEL PENG
1160 W MICHIGAN ST # 212
INDIANAPOLIS, IN 46202-5209
Phone number: 317-944-2020
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