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1467946368
BRIAN DAVAULT
WABASH, IN
NPI
1467946368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01082532A)
Enumeration Date
2018-06-15
Last Update Date
2022-10-11
Business Address
BRIAN DAVAULT MD
8 JOHN KISSINGER DR
WABASH, IN 46992-1648
Phone number: 260-563-7451
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Mailing Address
BRIAN DAVAULT MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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