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1023490224
ERIC SKORUPA
FORT WAYNE, IN
NPI
1023490224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003907)
Enumeration Date
2015-06-24
Last Update Date
2018-08-15
Business Address
ERIC SKORUPA OD
2001 REED RD
FORT WAYNE, IN 46815
Phone number: 260-426-5663
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Mailing Address
ERIC SKORUPA OD
PO BOX 549
WABASH, IN 46992-0549
Phone number: 260-569-9550
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