STACIE COLE

INDIANAPOLIS, IN
NPI1962956789
Former NameSTACIE COPPLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002079A)
Enumeration Date2016-08-10
Last Update Date2017-06-02
Business Address
-- STACIE COLE PA
1400 N RITTER AVE STE 375B
INDIANAPOLIS, IN 46219-3052
Phone number: 317-355-9370
Mailing Address
-- STACIE COLE PA
6626 E 75TH ST SUITE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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