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1457579088
DALE A BULTEMEIER
FORT WAYNE, IN
NPI
1457579088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26014654)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. DALE A BULTEMEIER RPh
8101 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4163
Phone number: 260-969-2418
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Mailing Address
Mr. DALE A BULTEMEIER RPh
13328 PLUMBAGO CT
FORT WAYNE, IN 46814-8843
Phone number: 260-969-2418
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