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1962017210
TAYLOR LEE CLOUGH
INDIANAPOLIS, IN
NPI
1962017210
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Former Name
TAYLOR LEE BOWEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003012A)
Enumeration Date
2020-09-14
Last Update Date
2020-11-24
Business Address
TAYLOR LEE CLOUGH PA-C
7911 MICHIGAN RD
INDIANAPOLIS, IN 46268-1915
Phone number: 317-956-6288
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Mailing Address
TAYLOR LEE CLOUGH PA-C
2760 WOODWIND WAY
INDIANAPOLIS, IN 46268-4233
Phone number:
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