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1902846017
BRYAN G CUNNINGHAM
LAPORTE, IN
NPI
1902846017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN 01036025A)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- BRYAN G CUNNINGHAM MD
1007 LINCOLNWAY
LAPORTE, IN 46350-3201
Phone number: 219-326-2403
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Mailing Address
-- BRYAN G CUNNINGHAM MD
1007 LINCOLNWAY POST OFFICE BOX 1539
LAPORTE, IN 46350-3201
Phone number: 219-326-2403
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