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1295847986
PHILLIP GEORGE KOULTOURIDES
VALPARAISO, IN
NPI
1295847986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003080)
Enumeration Date
2006-08-31
Last Update Date
2022-09-09
Business Address
Dr. PHILLIP GEORGE KOULTOURIDES O.D.
2400 MORTHLAND DR
VALPARAISO, IN 46383
Phone number: 219-465-2788
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Mailing Address
Dr. PHILLIP GEORGE KOULTOURIDES O.D.
9140 DRAKE DR
SAINT JOHN, IN 46373-9066
Phone number: 219-365-8069
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