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Individual

ALLYSON NICOLE DIMAGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 718-4676
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01089431A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01089431A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300038792
IN
Enumeration date
04/21/2020
Last updated
10/01/2025
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