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1235104068
JESSE BEN MIZE
RAVENSWOOD, WV
NPI
1235104068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 924-od)
Enumeration Date
2006-02-23
Last Update Date
2010-02-12
Business Address
-- JESSE BEN MIZE o.d.
706 WASHINGTON ST
RAVENSWOOD, WV 26164-1772
Phone number: 304-273-2020
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Mailing Address
-- JESSE BEN MIZE o.d.
706 WASHINGTON ST
RAVENSWOOD, WV 26164-1772
Phone number: 304-273-2020
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