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Dave Phondo

NPI 1942564786 · on the registry since 2012 · sole proprietor

Practice

Address
1805 Revere Pl
Carmel, IN 46032
Phone
(317) 853-6633

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Also registered as
Private Vehicle
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana