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1154437382
MARCIA L FAVALI
TERRE HAUTE, IN
NPI
1154437382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01033320A)
Enumeration Date
2006-08-21
Last Update Date
2010-08-18
Business Address
MARCIA L FAVALI M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-242-3120
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Mailing Address
MARCIA L FAVALI M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-242-3120
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