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1861548943
MARK T. CIANCONE
BLOOMINGTON, IN
NPI
1861548943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01031492)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- MARK T. CIANCONE M.D.
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-2850
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Mailing Address
-- MARK T. CIANCONE M.D.
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-2850
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