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Individual

MRS. MARILYN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2511 E 46TH ST, SUITE Q-7, INDIANAPOLIS, IN 46205-2460
(317) 362-3479
Mailing address
2511 E 46TH ST, SUITE Q-7, INDIANAPOLIS, IN 46205-2460
(317) 362-3479

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT20901934
IN
174H00000X
Health Educator
MT20901934
IN
208100000X
Physical Medicine & Rehabilitation Physician
MT20901934
IN
225700000X
Massage Therapist
Primary
MT20901934
IN

Other

Enumeration date
10/28/2009
Last updated
10/28/2009
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