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1710904321
CAMERON R. GONGWER
SOUTH BEND, IN
NPI
1710904321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01038547A)
Enumeration Date
2006-07-17
Last Update Date
2016-07-29
Business Address
Dr. CAMERON R. GONGWER MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-8579
Phone number: 574-204-6200
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Mailing Address
Dr. CAMERON R. GONGWER MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-8579
Phone number: 574-204-6200
Copy
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