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1134120421
EMILIO J VAZQUEZ
FORT WAYNE, IN
NPI
1134120421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01048856A)
Enumeration Date
2005-08-09
Last Update Date
2022-10-12
Business Address
EMILIO J VAZQUEZ MD
4402 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-425-5500
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Mailing Address
EMILIO J VAZQUEZ MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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