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1376808071
JON CHRISTOPHER VANWAGNEN
ALPENA, MI
NPI
1376808071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004725)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
Dr. JON CHRISTOPHER VANWAGNEN O.D.
137 PARKER AVE
ALPENA, MI 49707-1413
Phone number: 989-916-6168
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Mailing Address
Dr. JON CHRISTOPHER VANWAGNEN O.D.
137 PARKER AVE
ALPENA, MI 49707-1413
Phone number: 989-916-6168
Copy
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