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1104875434
FAUSTO R. LORA-MIR
ELGIN, IL
NPI
1104875434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036084051)
Enumeration Date
2006-05-05
Last Update Date
2008-10-03
Business Address
-- FAUSTO R. LORA-MIR M.D.
2023 ROYAL BLVD SUITE A
ELGIN, IL 60120
Phone number: 847-931-7274
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Mailing Address
-- FAUSTO R. LORA-MIR M.D.
2023 ROYAL BLVD SUITE A
ELGIN, IL 60120
Phone number: 847-931-7274
Copy
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