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1154462711
JAMES F LONGENECKER
SOUTH BEND, IN
NPI
1154462711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001765B)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- JAMES F LONGENECKER O.D.
4123 S MICHIGAN ST
SOUTH BEND, IN 46614-2545
Phone number: 574-291-8900
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Mailing Address
-- JAMES F LONGENECKER O.D.
4123 S MICHIGAN ST
SOUTH BEND, IN 46614-2545
Phone number: 574-291-8900
Copy
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