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Proactive Mso, Llc
Primary Care Clinic/Center in Plymouth, Indiana
NPI 1083250351

Proactive Mso, Llc is a Primary Care Clinic/Center based in Simpsonville, IN and is specialized in Primary Care. Proactive Mso, Llc practices in Plymouth, IN. The NPI Number for Proactive Mso, Llc is 1083250351 and holds a License No. (Indiana).

The current practice location address for Proactive Mso, Llc is 504 Colonial Ct, Plymouth, IN and can be reached out via phone at 812-645-1892.

Location: 504 Colonial Ct, Plymouth, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083250351
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
504 Colonial Ct, Plymouth, IN, 29681-6207
Phone Number
812-645-1892
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
504 Colonial Ct
City
Plymouth
State
Indiana
Zip
46563-1860
Phone Number
812-645-1892
Fax Number
person
Provider Business Mailing Address Details
Address
504 Colonial Ct
City
Plymouth
State
Indiana
Zip
46563-1860
Phone Number
812-645-1892
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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