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1205210358
NICHOLAS GLEN PHEBUS
INDIANAPOLIS, IN
NPI
1205210358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003920A)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
Dr. NICHOLAS GLEN PHEBUS O.D.
5406 W 38TH ST
INDIANAPOLIS, IN 46254-2918
Phone number: 317-280-8324
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Mailing Address
Dr. NICHOLAS GLEN PHEBUS O.D.
6553 N STATE ROAD 39
MULBERRY, IN 46058-9435
Phone number: 765-413-8768
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