BENJAMIN LEROY LIGHT

PEORIA, IL
NPI1447294483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1700X Technician/Technologist, Ocularist
Enumeration Date2006-06-16
Last Update Date2008-05-09
Business Address
-- BENJAMIN LEROY LIGHT ocularist apprentice
1318 W CANDLETREE DR SUITE 3
PEORIA, IL 61614-8508
Phone number: 309-676-3663
Mailing Address
-- BENJAMIN LEROY LIGHT ocularist apprentice
1318 W CANDLETREE DR SUITE 3
PEORIA, IL 61614-8508
Phone number: 309-676-3663
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