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Individual

MR. JOHN THOMAS NOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP/CNS

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 554-0252
Mailing address
702 EAST WASHINGTON ST, INDINANAPOLIS, IN 46202-0000
(317) 266-0882
(317) 266-0889

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
70000053A
IN

Other

Enumeration date
10/16/2006
Last updated
12/15/2010
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