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Case Number and Status

Case Number: I-200-19171-097038

Submitted on:

CERTIFIED

on:

Employment

From: 2019-07-01

To: 2022-06-30 (1,095 days)

Address

3403 E. Raymond Street
Indianapolis, IN 46203

Phone

3179572500


Attorney Summary

Location
Minneapolis, MN

Job Summary

Job Title
Pediatrician
City and State
Indianapolis, INDIANA
County
Marion

Soc Code
29-1065.00
Naics Code
Industry Code
621111