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1497765978
ROLAND FRED SLYBY
FORT WAYNE, IN
NPI
1497765978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12006426)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
DR. ROLAND FRED SLYBY DDS
3615 LAKE AVE
FORT WAYNE, IN 46805-5539
Phone number: 260-424-6373
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Mailing Address
DR. ROLAND FRED SLYBY DDS
3615 LAKE AVE
FORT WAYNE, IN 46805-5539
Phone number: 260-424-6373
Copy
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