JACK L EWAN

LONDON, OH
NPI1386789907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OH  3600 T49)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Dr. JACK L EWAN O.D.
306 LAFAYETTE ST SUITE E
LONDON, OH 43140-9069
Phone number: 740-852-4903
Mailing Address
Dr. JACK L EWAN O.D.
1930 JERVIS RD
COLUMBUS, OH 43221-2772
Phone number: 740-852-4903
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