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1578968004
GREGORY BUTLER
FORT WAYNE, IN
NPI
1578968004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012219A)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
DR. GREGORY BUTLER D.D.S.
919 FLORENCE AVE
FORT WAYNE, IN 46808-2354
Phone number: 260-632-8486
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Mailing Address
DR. GREGORY BUTLER D.D.S.
919 FLORENCE AVE
FORT WAYNE, IN 46808-2354
Phone number: 260-632-8486
Copy
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