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Individual

MR. AMADOU DIOGO DIALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4623 FALCON GROVE DR, INDIANAPOLIS, IN 46254-5919
(317) 513-1077
(317) 704-4249
Mailing address
4623 FALCON GROVE DR, INDIANAPOLIS, IN 46254-5919
(317) 513-1077
(317) 704-4249

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
870333
IN

Other

Enumeration date
04/03/2009
Last updated
04/03/2009
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