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1407840952
FRED A SIMON
GOSHEN, IN
NPI
1407840952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01038692)
Enumeration Date
2005-09-09
Last Update Date
2008-02-04
Business Address
-- FRED A SIMON M.D.
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348
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Mailing Address
-- FRED A SIMON M.D.
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348
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