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1073515938
RICHARD SCOTT CARLSON
VALPARAISO, IN
NPI
1073515938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009441)
Enumeration Date
2005-08-11
Last Update Date
2024-11-20
Business Address
Dr. RICHARD SCOTT CARLSON OD
851 EASTPORT CENTRE DR
VALPARAISO, IN 46383-2909
Phone number: 219-464-8223
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Mailing Address
Dr. RICHARD SCOTT CARLSON OD
502 MARQUETTE ST
VALPARAISO, IN 46383-2509
Phone number: 219-464-8223
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