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1467508812
JON RICHARD OBERLY
BRIDGEPORT, WV
NPI
1467508812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 619OD)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Dr. JON RICHARD OBERLY O. D.
2500 MEADOWBROOK MALL JC PENNEY OPTICAL
BRIDGEPORT, WV 26330-9792
Phone number: 304-842-8515
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Mailing Address
Dr. JON RICHARD OBERLY O. D.
965 STEWART ST
MORGANTOWN, WV 26505-1800
Phone number: 304-599-8380
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