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1588630149
STEVEN RAY RUTAN
FORT WAYNE, IN
NPI
1588630149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001701A)
Enumeration Date
2006-02-24
Last Update Date
2010-07-06
Business Address
Dr. STEVEN RAY RUTAN O.D.
5229 COLDWATER RD
FORT WAYNE, IN 46825-5538
Phone number: 260-484-1453
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Mailing Address
Dr. STEVEN RAY RUTAN O.D.
5229 COLDWATER RD
FORT WAYNE, IN 46825-5538
Phone number: 260-484-1453
Copy
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