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1669783304
LISHA TOWN
SOUTH BEND, IN
NPI
1669783304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11015725A)
Enumeration Date
2010-06-28
Last Update Date
2018-03-12
Business Address
LISHA TOWN M.D.
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-246-8816
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Mailing Address
LISHA TOWN M.D.
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-246-8816
Copy
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