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1477083848
JAN MAGNO DE GUZMAN
FORT WAYNE, IN
NPI
1477083848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: IN 01083919A)
Enumeration Date
2017-06-18
Last Update Date
2021-12-15
Business Address
JAN MAGNO DE GUZMAN MD
10215 AUBURN PARK DR
FORT WAYNE, IN 46825-2387
Phone number: 260-234-5400
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Mailing Address
JAN MAGNO DE GUZMAN MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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