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1154657450
BRENDA M VALLIERE
FORT WAYNE, IN
NPI
1154657450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008807)
Enumeration Date
2009-10-22
Last Update Date
2009-10-22
Business Address
DR. BRENDA M VALLIERE DDS
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614
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Mailing Address
DR. BRENDA M VALLIERE DDS
1330 E STATE BLVD
FORT WAYNE, IN 46805-4422
Phone number: 260-484-5614
Copy
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