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1518734482
NICHOLAS JOSEPH DEWALD
FORT WAYNE, IN
NPI
1518734482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08003397A)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
Dr. NICHOLAS JOSEPH DEWALD DC
9614 LIMA RD STE 104
FORT WAYNE, IN 46818-9279
Phone number: 260-442-6025
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Mailing Address
Dr. NICHOLAS JOSEPH DEWALD DC
12894 GANNET CT
FORT WAYNE, IN 46845-1285
Phone number: 260-442-6025
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