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1134468218
CATHY RENEE FAGEN
GREENWOOD, IN
NPI
1134468218
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Former Name
CATHY R EVANCHO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001493A)
Enumeration Date
2013-02-08
Last Update Date
2024-10-01
Business Address
CATHY RENEE FAGEN PA-C
701 E COUNTY LINE RD STE 101
GREENWOOD, IN 46143-1070
Phone number: 317-885-2860
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Mailing Address
CATHY RENEE FAGEN PA-C
701 E COUNTY LINE RD STE 101
GREENWOOD, IN 46143-1070
Phone number: 317-885-2860
Copy
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