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1043266653
DALE DENNIS DEARDORFF
MISHAWAKA, IN
NPI
1043266653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01025330)
Enumeration Date
2006-05-25
Last Update Date
2009-02-23
Business Address
-- DALE DENNIS DEARDORFF M.D.
420 W 4TH ST SUITE 180
MISHAWAKA, IN 46544-1948
Phone number: 574-247-3456
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Mailing Address
-- DALE DENNIS DEARDORFF M.D.
PO BOX 6309
SOUTH BEND, IN 46660-6309
Phone number: 574-472-6700
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