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1427086545
JAMES A LEAVERTON
MISHAWAKA, IN
NPI
1427086545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001970)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
-- JAMES A LEAVERTON O.D.
5325 GRAPE RD
MISHAWAKA, IN 46545-1344
Phone number: 574-277-6161
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Mailing Address
-- JAMES A LEAVERTON O.D.
4123 S MICHIGAN ST
SOUTH BEND, IN 46614-2545
Phone number: 574-291-8900
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