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1992311104
GLENDALE ADVANCED HEALTH, LLC
INDIANAPOLIS, IN
NPI
1992311104
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Entity Type
Organization
Authorized Contact
JOSEPH FORTUNATO
Owner
317-257-2225
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-09-22
Last Update Date
2021-09-23
Business Address
GLENDALE ADVANCED HEALTH, LLC
6321 N. KEYSTONE AVE STE. B
INDIANAPOLIS, IN 46220
Phone number: 317-257-2225
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Mailing Address
GLENDALE ADVANCED HEALTH, LLC
6321 N KEYSTONE AVE SUITE B
INDIANAPOLIS, IN 46220-2156
Phone number: 317-257-2225
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