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1619953478
RONNIE D. WADE
SOUTH BEND, IN
NPI
1619953478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001454AB)
Enumeration Date
2005-12-22
Last Update Date
2014-01-03
Business Address
Dr. RONNIE D. WADE O. D.
810 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-287-3333
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Mailing Address
Dr. RONNIE D. WADE O. D.
810 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-287-3333
Copy
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