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1366002461
DANIEL SPENCER PEREZ
WABASH, IN
NPI
1366002461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 006791)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
DANIEL SPENCER PEREZ OD
833 N CASS ST
WABASH, IN 46992-1613
Phone number: 260-563-3672
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Mailing Address
DANIEL SPENCER PEREZ OD
9714 W 125TH AVE
CEDAR LAKE, IN 46303-9259
Phone number: 708-439-9447
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