THEODORE JOSEPH-DOUGLAS BLANFORD

FORT WAYNE, IN
NPI1477846699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: IN  17001362A)
Enumeration Date2011-05-20
Last Update Date2011-05-20
Business Address
-- THEODORE JOSEPH-DOUGLAS BLANFORD HIS
927 E DUPONT RD
FORT WAYNE, IN 46825-1551
Phone number: 260-338-2942
Mailing Address
-- THEODORE JOSEPH-DOUGLAS BLANFORD HIS
927 E DUPONT RD
FORT WAYNE, IN 46825-1551
Phone number: 260-338-2942
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