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1922541176
DENNIS IRVINE MUDD
INDIANAPOLIS, IN
NPI
1922541176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-11-21
Last Update Date
2021-08-09
Business Address
DENNIS IRVINE MUDD PA-C
2130 WOODLAWN AVE
INDIANAPOLIS, IN 46203-1442
Phone number: 708-768-1507
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Mailing Address
DENNIS IRVINE MUDD PA-C
2130 WOODLAWN AVE
INDIANAPOLIS, IN 46203-1442
Phone number: 708-768-1507
Copy
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