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1922146885
KENNETH DOUGLAS MARSHALL
INDIANAPOLIS, IN
NPI
1922146885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: IN 01023941)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- KENNETH DOUGLAS MARSHALL MD
915 N CAPITOL AVE
INDIANAPOLIS, IN 46204-1004
Phone number: 317-631-0420
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Mailing Address
-- KENNETH DOUGLAS MARSHALL MD
915 N CAPITOL AVE
INDIANAPOLIS, IN 46204-1004
Phone number: 317-631-0420
Copy
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