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1467960732
JONELLE OLIVIA GREEN
FREDONIA, NY
NPI
1467960732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV008716)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
JONELLE OLIVIA GREEN OD
10401 BENNETT RD
FREDONIA, NY 14063-1402
Phone number: 716-679-3180
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Mailing Address
JONELLE OLIVIA GREEN OD
1816 W 24TH ST
ERIE, PA 16502-2022
Phone number: 954-559-1957
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