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1093894057
ISAAC N MITRE
TERRE HAUTE, IN
NPI
1093894057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01022272A)
Enumeration Date
2006-11-02
Last Update Date
2011-11-22
Business Address
ISAAC N MITRE MD
1623 N 4TH STREET
TERRE HAUTE, IN 47804
Phone number: 812-238-1652
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Mailing Address
ISAAC N MITRE MD
1623 N 4TH STREET
TERRE HAUTE, IN 47804
Phone number: 812-238-1652
Copy
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