DIANE ELAINE SHORT

BLOOMINGTON, IN
NPI1306877956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002480)
Enumeration Date2006-07-05
Last Update Date2020-10-21
Business Address
Mrs. DIANE ELAINE SHORT OD
415 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5517
Phone number: 812-333-1911
Mailing Address
Mrs. DIANE ELAINE SHORT OD
415 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5517
Phone number: 812-333-1911
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