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1326027038
DEANA R FUGATE
GOSHEN, IN
NPI
1326027038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012647A)
Additional Taxonomies
122300000X Dentist
(Licence: NC 8338)
Enumeration Date
2006-01-11
Last Update Date
2022-06-15
Business Address
Dr. DEANA R FUGATE DMD
1213 W LINCOLN AVE
GOSHEN, IN 46526-2130
Phone number: 865-208-5147
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Mailing Address
Dr. DEANA R FUGATE DMD
1213 W LINCOLN AVE
GOSHEN, IN 46526-2130
Phone number: 574-533-6911
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