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1245976463
JON JIMENEZ
WEST BLOOMFIELD, MI
NPI
1245976463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005620)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
JON JIMENEZ OD
7230 ORCHARD LAKE RD
WEST BLOOMFIELD, MI 48322-3603
Phone number: 248-661-5100
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Mailing Address
JON JIMENEZ OD
46644 CROSSWICK
CANTON, MI 48187-4672
Phone number: 734-644-0702
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