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Organization

MIRACLE MEDICAL SUPPLY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHERINE CHANELL WHITE (PRESIDENT)
(317) 876-5840
Entity
Organization

Contact information

Practice address
8857 COMMERCE PARK PL, A, INDIANAPOLIS, IN 46268-3170
(317) 876-5840
(317) 876-5841
Mailing address
8857 COMMERCE PARK PL, A, INDIANAPOLIS, IN 46268-3170
(317) 876-5840
(317) 876-5841

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/29/2009
Last updated
05/17/2011
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