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1932677291
PURE LIFE CLINIC LLC
INDIANAPOLIS, IN
NPI
1932677291
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Entity Type
Organization
Authorized Contact
SHAWN VIGNEAU
Sole Mbr
480-290-9899
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
PURE LIFE CLINIC LLC
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250-5645
Phone number: 480-566-9755
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Mailing Address
PURE LIFE CLINIC LLC
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250-5645
Phone number: 480-566-9755
Copy
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