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1952716912
JAIRUS MICHAEL STURGEON
INDIANAPOLIS, IN
NPI
1952716912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31005693A)
Enumeration Date
2014-06-27
Last Update Date
2014-06-27
Business Address
-- JAIRUS MICHAEL STURGEON MSOTRL
6239 S EAST ST
INDIANAPOLIS, IN 46227-2090
Phone number: 269-599-2025
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Mailing Address
-- JAIRUS MICHAEL STURGEON MSOTRL
5537 FJORD DR APT E
INDIANAPOLIS, IN 46250-1100
Phone number: 269-599-2025
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