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1528058344
GLEN A DAVIS
SOUTH BEND, IN
NPI
1528058344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 01053925A)
Enumeration Date
2005-10-24
Last Update Date
2008-06-06
Business Address
Dr. GLEN A DAVIS MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-233-7337
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Mailing Address
Dr. GLEN A DAVIS MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-233-7337
Copy
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