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Individual

SUSAN ELAINE STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. T.

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3958
Mailing address
18007 KINDER OAK DR, NOBLESVILLE, IN 46062-7529

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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