JASON LEE ERVIN

NEW BOSTON, OH
NPI1609573526
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: OH  OP.006432-SC)
Enumeration Date2023-02-10
Last Update Date2023-02-10
Business Address
JASON LEE ERVIN
4490 GALLIA ST
NEW BOSTON, OH 45662-5553
Phone number: 740-456-8650
Mailing Address
JASON LEE ERVIN
4490 GALLIA ST
NEW BOSTON, OH 45662-5553
Phone number: 740-456-8650
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