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1619006772
MARVIN EUGENE EASTLUND
FORT WAYNE, IN
NPI
1619006772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: IN 01022999A)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. MARVIN EUGENE EASTLUND M.D.
5204 TATUM CT
FORT WAYNE, IN 46835-4633
Phone number: 260-486-9432
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Mailing Address
Dr. MARVIN EUGENE EASTLUND M.D.
5204 TATUM CT
FORT WAYNE, IN 46835-4633
Phone number: 260-486-9432
Copy
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