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1790944742
CLAUDIA IRENE VIDAL
BLOOMINGTON, IN
NPI
1790944742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZD0900X Pathology Dermatopathology
(Licence: IN 01081633A)
Enumeration Date
2008-06-05
Last Update Date
2020-06-11
Business Address
CLAUDIA IRENE VIDAL MD
1200 S ROGERS ST
BLOOMINGTON, IN 47403-4792
Phone number: 812-339-6434
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Mailing Address
CLAUDIA IRENE VIDAL MD
1200 S ROGERS ST
BLOOMINGTON, IN 47403-4792
Phone number: 812-339-6434
Copy
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