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Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Other names
Faith, Hope, and Love Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER)
(765) 423-6161
Entity
Organization
Contact information
Practice address
1425 UNITY PL, LAFAYETTE, IN 47905-5756
(765) 447-7460
Mailing address
2400 SOUTH ST, LAFAYETTE, IN 47904-3027
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
IN
Other
Enumeration date
11/06/2006
Last updated
11/27/2007
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