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1033789763
JONATHAN ANDREW KING
BLOOMINGTON, IN
NPI
1033789763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004279A)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
JONATHAN ANDREW KING OD
744 E 3RD ST
BLOOMINGTON, IN 47405-3603
Phone number: 812-855-8436
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Mailing Address
JONATHAN ANDREW KING OD
744 E 3RD ST
BLOOMINGTON, IN 47405-3603
Phone number:
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