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1386160521
JACOB WITTMAN
APPLETON, WI
NPI
1386160521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 3490-35)
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
Dr. JACOB WITTMAN OD
1225 W NORTHLAND AVE
APPLETON, WI 54914-1416
Phone number: 920-731-2020
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Mailing Address
Dr. JACOB WITTMAN OD
9 GRACE CT
APPLETON, WI 54915-4717
Phone number: 920-470-0632
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