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1336243039
STEVE TED PETKOVICH
INDIANAPOLIS, IN
NPI
1336243039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003096)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Dr. STEVE TED PETKOVICH OD
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
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Mailing Address
Dr. STEVE TED PETKOVICH OD
218 HUNTERS TRL
ZIONSVILLE, IN 46077-3830
Phone number:
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