JESSE LOGAN MIZE

RAVENSWOOD, WV
NPI1285246546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WV  2072-IOD)
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
JESSE LOGAN MIZE OD
706 WASHINGTON ST
RAVENSWOOD, WV 26164-1772
Phone number: 304-273-2020
Mailing Address
JESSE LOGAN MIZE OD
706 WASHINGTON ST
RAVENSWOOD, WV 26164-1772
Phone number: 304-273-2020
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