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1659427102
SUSAN MARIE GOODE
FORT WAYNE, IN
NPI
1659427102
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Professional Name
SUSAN LENTZ GOODE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003062A)
Enumeration Date
2007-01-26
Last Update Date
2012-07-27
Business Address
Dr. SUSAN MARIE GOODE O.D.
14413 ILLINOIS RD STE. C
FORT WAYNE, IN 46814-9714
Phone number: 260-616-0184
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Mailing Address
Dr. SUSAN MARIE GOODE O.D.
14413 ILLINOIS RD STE. C
FORT WAYNE, IN 46814-9714
Phone number: 260-616-0184
Copy
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