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1790790657
FAUSTO ODON MAGNO
MERRILLVILLE, IN
NPI
1790790657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01054491A)
Enumeration Date
2006-07-29
Last Update Date
2007-10-26
Business Address
Dr. FAUSTO ODON MAGNO M.D.
8315 VIRGINIA ST STE M
MERRILLVILLE, IN 46410-9201
Phone number: 219-736-1500
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Mailing Address
Dr. FAUSTO ODON MAGNO M.D.
8315 VIRGINIA ST STE M
MERRILLVILLE, IN 46410-9201
Phone number: 219-736-1500
Copy
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