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1174592794
PETER S KOLLBAUM
BLOOMINGTON, IN
NPI
1174592794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003057)
Enumeration Date
2006-03-16
Last Update Date
2015-10-21
Business Address
Dr. PETER S KOLLBAUM O.D.
800 E ATWATER AVE
BLOOMINGTON, IN 47405-3635
Phone number: 812-855-4447
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Mailing Address
Dr. PETER S KOLLBAUM O.D.
800 E ATWATER AVE
BLOOMINGTON, IN 47405-3635
Phone number: 812-855-4447
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