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1861487670
JORGE FERNANDEZ DECORDOVA
MUNSTER, IN
NPI
1861487670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN 01045112A)
Enumeration Date
2005-09-19
Last Update Date
2012-12-17
Business Address
-- JORGE FERNANDEZ DECORDOVA M.D.
901 MACARTHUR
MUNSTER, IN 46321-2901
Phone number: 219-836-4622
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Mailing Address
-- JORGE FERNANDEZ DECORDOVA M.D.
PO BOX 10805
MERRILLVILLE, IN 46410-0805
Phone number: 800-288-8325
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