ELLEN BLAIR VANDENBERG

CLEVELAND, OH
NPI1336631647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005363)
Enumeration Date2018-06-01
Last Update Date2019-08-20
Business Address
Dr. ELLEN BLAIR VANDENBERG OD
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
Mailing Address
Dr. ELLEN BLAIR VANDENBERG OD
PO BOX 304
LOWELL, OH 45744-0304
Phone number: 740-516-4216
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