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1669904595
MICHAEL PEREZ
FORT WAYNE, IN
NPI
1669904595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
-- MICHAEL PEREZ CP
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6894
Phone number: 260-432-8886
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Mailing Address
-- MICHAEL PEREZ CP
408 E WASHINGTON ST
BUTLER, IN 46721-1179
Phone number:
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