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1760008726
MARY ELLEN WITTENDORF
MISHAWAKA, IN
NPI
1760008726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005437)
Enumeration Date
2020-06-24
Last Update Date
2023-07-03
Business Address
MARY ELLEN WITTENDORF OD
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
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Mailing Address
MARY ELLEN WITTENDORF OD
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
Copy
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