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GRACE DIVINE, LLC

Family Medicine Physician

NPI: 1548596372Organization

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

38836(KY)

General Practice

Code: 208D00000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Nurse Practitioner — Adult Health

Code: 363LA2200X

Contact & Hours

Via practice · 3 locations total

Address
907 N EAST ST
INDIANAPOLIS, IN 46202

Quick Facts

NPI
1548596372
Entity Type
Organization
Medicare
Not confirmed
Specialties
5
Locations
3

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