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1265693634
THOMAS GENE MAGNUSON
SOUTH BEND, IN
NPI
1265693634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12010309A)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Dr. THOMAS GENE MAGNUSON D.D.S.
4550 S IRONWOOD DR
SOUTH BEND, IN 46614-9595
Phone number: 574-299-0484
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Mailing Address
Dr. THOMAS GENE MAGNUSON D.D.S.
4550 S IRONWOOD DR
SOUTH BEND, IN 46614-9595
Phone number: 574-299-0484
Copy
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