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1669664363
ERIC E DALE
WABASH, IN
NPI
1669664363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003449A)
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
-- ERIC E DALE OD
520 MANCHESTER AVENUE
WABASH, IN 46992-1415
Phone number: 260-563-0884
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Mailing Address
-- ERIC E DALE OD
520 MANCHESTER AVENUE
WABASH, IN 46992-1415
Phone number: 260-563-0884
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