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1114048121
VALERIE E LAKE
FORT WAYNE, IN
NPI
1114048121
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Professional Name
VALERIE E LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010452A)
Enumeration Date
2007-04-03
Last Update Date
2021-11-08
Business Address
Dr. VALERIE E LAKE D.D.S.
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579
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Mailing Address
Dr. VALERIE E LAKE D.D.S.
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579
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