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1083136030
STEVEN ISON
FORT WAYNE, IN
NPI
1083136030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004057A)
Enumeration Date
2017-07-12
Last Update Date
2017-07-17
Business Address
STEVEN ISON
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-426-3095
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Mailing Address
STEVEN ISON
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number:
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