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1184644544
TEODORICO G EXCONDE
MIDDLEBURG HEIGHTS, OH
NPI
1184644544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OH 35034427)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
TEODORICO G EXCONDE
18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH 44130
Phone number: 440-816-8740
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Mailing Address
TEODORICO G EXCONDE
PO BOX 74228
CLEVELAND, OH 44194
Phone number: 440-816-8740
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