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1780162198
ALAN PROUTY
FORT WAYNE, IN
NPI
1780162198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12013000A)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
ALAN PROUTY DDS
4041 PARNELL AVE
FORT WAYNE, IN 46805-1413
Phone number: 260-482-8386
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Mailing Address
ALAN PROUTY DDS
4041 PARNELL AVE
FORT WAYNE, IN 46805-1413
Phone number: 260-482-8386
Copy
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