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1124459276
FW INTERVENTIONAL PAIN MANAGEMENT LLC
FORT WAYNE, IN
NPI
1124459276
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Entity Type
Organization
Authorized Contact
MICHAEL COZZI
Sole Member
260-672-8979
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01045203A)
Enumeration Date
2013-11-27
Last Update Date
2014-02-18
Business Address
FW INTERVENTIONAL PAIN MANAGEMENT LLC
2510 E DUPONT RD SUITE 115
FORT WAYNE, IN 46825-1600
Phone number: 260-672-8979
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Mailing Address
FW INTERVENTIONAL PAIN MANAGEMENT LLC
2510 E DUPONT RD SUITE 115
FORT WAYNE, IN 46825-1600
Phone number: 260-672-8979
Copy
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