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Individual
MAUREEN FAUSONE
Active
Individual
MAUREEN FAUSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170473
IL
207R00000X
Internal Medicine Physician
68339
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
06/11/2024
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