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1023701182
PARKER DURANT GROOM
FORT WAYNE, IN
NPI
1023701182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IN 12014105A)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
PARKER DURANT GROOM DDS
10010 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1626
Phone number: 260-490-9949
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Mailing Address
PARKER DURANT GROOM DDS
10010 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1626
Phone number:
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