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1609962323
JEFFREY DAVID WINE
MESA, AZ
NPI
1609962323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1544)
Enumeration Date
2006-10-04
Last Update Date
2022-06-14
Business Address
Dr. JEFFREY DAVID WINE OD
2826 E BASELINE RD STE 101
MESA, AZ 85204-7282
Phone number: 480-626-8925
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Mailing Address
Dr. JEFFREY DAVID WINE OD
2826 E BASELINE RD STE 101
MESA, AZ 85204-7282
Phone number: 480-626-8925
Copy
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