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1497075261
GERARDO HURTADO
GARY, IN
NPI
1497075261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001146A)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
Mr. GERARDO HURTADO PA-C
600 GRANT ST
GARY, IN 46402-6001
Phone number: 219-886-4405
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Mailing Address
Mr. GERARDO HURTADO PA-C
2692 TERESA ST
PORTAGE, IN 46368-3642
Phone number: 219-331-3264
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