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1508192147
PHILLIP G. KOULTOURIDES, O.D. P.C.
VALPARAISO, IN
NPI
1508192147
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Entity Type
Organization
Authorized Contact
PHILLIP KOULTOURIDES
President
219-365-8069
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003080)
Enumeration Date
2009-11-01
Last Update Date
2009-11-01
Business Address
PHILLIP G. KOULTOURIDES, O.D. P.C.
2400 MORTHLAND DR
VALPARAISO, IN 46383-8329
Phone number: 219-465-2788
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Mailing Address
PHILLIP G. KOULTOURIDES, O.D. P.C.
9140 DRAKE DR
SAINT JOHN, IN 46373-9066
Phone number: 219-365-8069
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