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1144486168
BRIAN ANDREW FAUST
SOUTH BEND, IN
NPI
1144486168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003536A)
Enumeration Date
2008-07-29
Last Update Date
2018-08-15
Business Address
Dr. BRIAN ANDREW FAUST O.D.
220 N IRONWOOD DR
SOUTH BEND, IN 46615
Phone number: 574-289-3937
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Mailing Address
Dr. BRIAN ANDREW FAUST O.D.
PO BOX 549 835 N. CASS ST.
WABASH, IN 46992-0549
Phone number: 260-569-9550
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