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1497788848
IL-SUNG KWAK
FORT WAYNE, IN
NPI
1497788848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 0102632A)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Dr. IL-SUNG KWAK M.D.
2222 TIMBERBROOK TRL
FORT WAYNE, IN 46845-9530
Phone number: 260-637-3939
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Mailing Address
Dr. IL-SUNG KWAK M.D.
2222 TIMBERBROOK TRL
FORT WAYNE, IN 46845-9530
Phone number: 260-637-3939
Copy
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