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1407862212
CAROLINE E BJONBACK
LA PORTE, IN
NPI
1407862212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01044334)
Enumeration Date
2006-08-01
Last Update Date
2014-12-23
Business Address
-- CAROLINE E BJONBACK MD
400 LEGACY PLZ W
LA PORTE, IN 46350-5296
Phone number: 219-326-1775
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Mailing Address
-- CAROLINE E BJONBACK MD
PO BOX 1690
LA PORTE, IN 46352-1690
Phone number: 219-326-2312
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