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1730368341
GEORGE D TAYLOR OD PC
FORT WAYNE, IN
NPI
1730368341
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Entity Type
Organization
Authorized Contact
GEORGE D TAYLOR
Od
260-426-3095
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002045A)
Enumeration Date
2007-10-31
Last Update Date
2007-12-26
Business Address
GEORGE D TAYLOR OD PC
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-426-3095
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Mailing Address
GEORGE D TAYLOR OD PC
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-426-3095
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