JERRY W LOGAN

RICHMOND, IN
NPI1043370125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18001503B)
Enumeration Date2006-12-11
Last Update Date2008-04-10
Business Address
-- JERRY W LOGAN OD
2519 E MAIN ST
RICHMOND, IN 47374-5867
Phone number: 765-966-2661
Mailing Address
-- JERRY W LOGAN OD
2517 EAST MAIN STREET
RICHMOND, IN 47374-5867
Phone number: 765-966-2661
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