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1083605364
MANOLO M. MANALO
FORT WAYNE, IN
NPI
1083605364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01041487A)
Enumeration Date
2005-11-04
Last Update Date
2020-10-13
Business Address
MANOLO M. MANALO MD
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-471-7197
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Mailing Address
MANOLO M. MANALO MD
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516
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