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Individual

GASTON DANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131-2732
(317) 346-3883
(317) 346-3141
Mailing address
1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131-2732
(317) 346-3883
(317) 346-3141

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02001432B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100382270
IN
Enumeration date
09/05/2006
Last updated
04/08/2013
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