MARK A HAVERA

EDWARDSVILLE, IL
NPI1306125166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046010454)
Enumeration Date2011-08-11
Last Update Date2014-10-02
Business Address
-- MARK A HAVERA OD
6663 EDWARDSVILLE CROSSING DR STE B
EDWARDSVILLE, IL 62025-2704
Phone number: 618-659-2320
Mailing Address
-- MARK A HAVERA OD
40 E NORTH ST
EUREKA, MO 63025-1205
Phone number: 636-200-4393
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