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1982322079
LYDIA GRACE NELSON
INDIANAPOLIS, IN
NPI
1982322079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-16
Last Update Date
2023-07-06
Business Address
Miss LYDIA GRACE NELSON PA-C
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-6900
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Mailing Address
Miss LYDIA GRACE NELSON PA-C
2100 S WIGGINS AVE
SPRINGFIELD, IL 62704-4379
Phone number: 217-836-8190
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