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1528173853
EDWIN KENNETH MCDONALD
GARY, IN
NPI
1528173853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 8052)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
EDWIN KENNETH MCDONALD DDS
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0104
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Mailing Address
EDWIN KENNETH MCDONALD DDS
3195 BROADWAY
GARY, IN 46409-1006
Phone number: 219-887-0104
Copy
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