Individual
THEODORE JOSEPH-DOUGLAS BLANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
927 E DUPONT RD, FORT WAYNE, IN 46825-1551
(260) 338-2942
(260) 338-2504
Mailing address
927 E DUPONT RD, FORT WAYNE, IN 46825-1551
(260) 338-2942
(260) 338-2504
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001362A
IN
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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