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1154813566
ETHAN CORY ALLEN ADKINS
LOGAN, WV
NPI
1154813566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 2046-IOD)
Enumeration Date
2018-05-31
Last Update Date
2020-06-09
Business Address
Dr. ETHAN CORY ALLEN ADKINS OD
407 GEORGE KOSTAS DR
LOGAN, WV 25601-3747
Phone number: 304-752-2020
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Mailing Address
Dr. ETHAN CORY ALLEN ADKINS OD
407 GEORGE KOSTAS DR
LOGAN, WV 25601-3747
Phone number: 304-752-2020
Copy
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