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1003816943
MARTIN R. WHITE
FORT WAYNE, IN
NPI
1003816943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002542B)
Enumeration Date
2005-07-21
Last Update Date
2010-02-24
Business Address
DR. MARTIN R. WHITE O.D.
6110 MAPLECREST RD
FORT WAYNE, IN 46835-2524
Phone number: 260-486-8833
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Mailing Address
DR. MARTIN R. WHITE O.D.
6110 MAPLECREST RD
FORT WAYNE, IN 46835-2524
Phone number: 260-486-8833
Copy
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