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1710453402
JEFF WELLS
FORT WAYNE, IN
NPI
1710453402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
JEFF WELLS CPO
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6894
Phone number: 866-633-3961
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Mailing Address
JEFF WELLS CPO
408 E WASHINGTON ST
BUTLER, IN 46721-1179
Phone number: 866-633-3961
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