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1811269780
GRETTEL T TESADO
FORT WAYNE, IN
NPI
1811269780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01072741A)
Enumeration Date
2012-02-07
Last Update Date
2022-10-03
Business Address
GRETTEL T TESADO M.D.
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
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Mailing Address
GRETTEL T TESADO M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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