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1134440183
MARTIN R WHITE OD INC
FORT WAYNE, IN
NPI
1134440183
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Entity Type
Organization
Authorized Contact
MARTIN WHITE
Owner/President
260-486-8833
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002542)
Enumeration Date
2010-06-14
Last Update Date
2010-06-14
Business Address
MARTIN R WHITE OD INC
6110 MAPLECREST RD
FORT WAYNE, IN 46835-2524
Phone number: 260-486-8833
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Mailing Address
MARTIN R WHITE OD INC
6110 MAPLECREST RD
FORT WAYNE, IN 46835-2524
Phone number: 260-486-8833
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