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1962735480
STEPHEN DOUGLAS BLACK
INDIANAPOLIS, IN
NPI
1962735480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007586A)
Enumeration Date
2009-09-16
Last Update Date
2009-09-16
Business Address
-- STEPHEN DOUGLAS BLACK PT
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-3640
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Mailing Address
-- STEPHEN DOUGLAS BLACK PT
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number:
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