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1417449174
ETHAN T MENGLE
MEDINA, OH
NPI
1417449174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH OPT.006684)
Enumeration Date
2018-05-30
Last Update Date
2021-06-08
Business Address
ETHAN T MENGLE OD
409 N COURT ST
MEDINA, OH 44256-1869
Phone number: 330-725-4680
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Mailing Address
ETHAN T MENGLE OD
PO BOX 207170
DALLAS, TX 75320-7173
Phone number: 636-200-4393
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