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1558473850
ISRAEL V FERNANDO
MOLINE, IL
NPI
1558473850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 036-101791)
Enumeration Date
2006-08-31
Last Update Date
2016-09-09
Business Address
Dr. ISRAEL V FERNANDO M.D.
3709 16TH ST
MOLINE, IL 61265-7208
Phone number: 309-797-2713
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Mailing Address
Dr. ISRAEL V FERNANDO M.D.
3709 16TH ST
MOLINE, IL 61265-7208
Phone number: 309-797-2713
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