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1407691496
AUSTIN DAVID FONSECA
INDIANAPOLIS, IN
NPI
1407691496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
AUSTIN DAVID FONSECA
918 FORT WAYNE AVE APT 509
INDIANAPOLIS, IN 46202-4141
Phone number: 812-746-9667
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Mailing Address
AUSTIN DAVID FONSECA
918 FORT WAYNE AVE APT 509
INDIANAPOLIS, IN 46202-4141
Phone number: 812-746-9667
Copy
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