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1316394992
ALEXANDER FACISTA
KOKOMO, IN
NPI
1316394992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01081040A)
Enumeration Date
2016-05-24
Last Update Date
2018-11-21
Business Address
ALEXANDER FACISTA MD
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-456-5433
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Mailing Address
ALEXANDER FACISTA MD
250 W 96TH ST # 520
INDIANAPOLIS, IN 46260-1316
Phone number:
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