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DR. JENNIFER MARIE GUDAS O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1841395209

Individual Registrant:
DR. JENNIFER MARIE GUDAS O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
633 E 13TH ST  WINAMAC, IN 46996-1157 US
Tel: 574-946-3944  Fax: 574-946-6843

Contact information for business:
PO BOX 365  WINAMAC, IN 46996-0365 US
Tel: 574-946-3944  Fax: 574-946-6843

Registration Information:
NPI: 1841395209
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IN18003318B

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200494530IN05




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