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1205829629
PHILLIP R ELSTON
BIRMINGHAM, MI
NPI
1205829629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009787)
Enumeration Date
2005-08-31
Last Update Date
2020-08-25
Business Address
PHILLIP R ELSTON OD
970 S OLD WOODWARD AVE
BIRMINGHAM, MI 48009-6726
Phone number: 248-369-3300
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Mailing Address
PHILLIP R ELSTON OD
3241 S MICHIGAN AVE
CHICAGO, IL 60616-3849
Phone number: 336-413-8843
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