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1043323660
EVAN E. FUSCO
LEBANON, MO
NPI
1043323660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2000160755)
Enumeration Date
2006-08-16
Last Update Date
2015-06-02
Business Address
-- EVAN E. FUSCO MD
100 HOSPITAL DR
LEBANON, MO 65536-9210
Phone number: 417-533-6100
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Mailing Address
-- EVAN E. FUSCO MD
PO BOX 504274
SAINT LOUIS, MO 63150-4274
Phone number: 417-829-4620
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