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1265414064
JEFFERY JAY PASS
LAFAYETTE, IN
NPI
1265414064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002083B)
Enumeration Date
2005-11-17
Last Update Date
2016-01-24
Business Address
-- JEFFERY JAY PASS OD
2200 ELMWOOD AVE STE D-4
LAFAYETTE, IN 47904-2347
Phone number: 765-446-2814
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Mailing Address
-- JEFFERY JAY PASS OD
2200 ELMWOOD AVE STE D-4
LAFAYETTE, IN 47904-2347
Phone number: 765-446-2814
Copy
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