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1669437968
JON DAVID HEAVERLO
CHARITON, IA
NPI
1669437968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 02187)
Enumeration Date
2006-04-19
Last Update Date
2007-09-27
Business Address
Dr. JON DAVID HEAVERLO O.D.
131 N MAIN ST
CHARITON, IA 50049-1270
Phone number: 641-774-7507
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Mailing Address
Dr. JON DAVID HEAVERLO O.D.
915 N 5TH ST
CHARITON, IA 50049-1238
Phone number: 641-774-7507
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