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1952943649
ALEXANDER PORUCZNIK
VALPARAISO, IN
NPI
1952943649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IN 10002834A)
Enumeration Date
2019-10-14
Last Update Date
2022-04-08
Business Address
ALEXANDER PORUCZNIK
1861 STURDY RD
VALPARAISO, IN 46383-8017
Phone number: 219-548-0360
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Mailing Address
ALEXANDER PORUCZNIK
565 W QUINCY ST UNIT 617
CHICAGO, IL 60661-2903
Phone number:
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