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1083614267
DANIEL O. ELLIOTT
SOUTH BEND, IN
NPI
1083614267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN IN18001717B)
Enumeration Date
2005-07-28
Last Update Date
2012-12-11
Business Address
-- DANIEL O. ELLIOTT OD
220 N IRONWOOD DR
SOUTH BEND, IN 46615-2518
Phone number: 574-233-3617
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Mailing Address
-- DANIEL O. ELLIOTT OD
220 N IRONWOOD DR
SOUTH BEND, IN 46615-2518
Phone number: 574-233-3617
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