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1942481965
ST. MARY ADULT MEDICINE, LLC
INDIANAPOLIS, IN
NPI
1942481965
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Entity Type
Organization
Authorized Contact
MALAK G HERMINA
Owner
317-293-9039
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-11-19
Last Update Date
2016-09-14
Business Address
ST. MARY ADULT MEDICINE, LLC
5525 GEORGETOWN RD STE F
INDIANAPOLIS, IN 46254-3717
Phone number: 317-293-9039
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Mailing Address
ST. MARY ADULT MEDICINE, LLC
5525 GEORGETOWN RD SUITE F
INDIANAPOLIS, IN 46254-3717
Phone number: 317-293-9039
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