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1730809229
JACOB DANIEL FUGATE
TERRE HAUTE, IN
NPI
1730809229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12013924A)
Enumeration Date
2022-09-02
Last Update Date
2022-09-02
Business Address
Dr. JACOB DANIEL FUGATE DDS
1626 IN-46
TERRE HAUTE, IN 47803
Phone number: 812-877-2238
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Mailing Address
Dr. JACOB DANIEL FUGATE DDS
152 CORINTH CT
TERRE HAUTE, IN 47803-9462
Phone number:
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