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1407933393
STEPHEN FASSINO
WABASH, IN
NPI
1407933393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01033201)
Enumeration Date
2006-11-01
Last Update Date
2021-03-21
Business Address
STEPHEN FASSINO MD
276 MANCHESTER AVE
WABASH, IN 46992-1808
Phone number: 260-563-2126
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Mailing Address
STEPHEN FASSINO MD
276 MANCHESTER AVE
WABASH, IN 46992-1808
Phone number: 260-563-2126
Copy
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