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1134358880
MYRA RENEE WEBER
FORT WAYNE, IN
NPI
1134358880
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Former Name
MYRA RENEE BAUMGARTNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003594A)
Enumeration Date
2009-07-02
Last Update Date
2022-05-26
Business Address
Dr. MYRA RENEE WEBER O.D.
4626 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6897
Phone number: 260-432-5502
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Mailing Address
Dr. MYRA RENEE WEBER O.D.
4626 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6897
Phone number: 260-432-5502
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