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1962956789
STACIE COLE
INDIANAPOLIS, IN
NPI
1962956789
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Former Name
STACIE COPPLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002079A)
Enumeration Date
2016-08-10
Last Update Date
2017-06-02
Business Address
-- STACIE COLE PA
1400 N RITTER AVE STE 375B
INDIANAPOLIS, IN 46219-3052
Phone number: 317-355-9370
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Mailing Address
-- STACIE COLE PA
6626 E 75TH ST SUITE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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