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1922837558
ABIGAIL GRACE LEE
FORT WAYNE, IN
NPI
1922837558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004514A)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
ABIGAIL GRACE LEE OD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
ABIGAIL GRACE LEE OD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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