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1679543342
JON BAUSBACK
MICHIGAN CITY, IN
NPI
1679543342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001410A)
Enumeration Date
2006-01-25
Last Update Date
2011-11-16
Business Address
JON BAUSBACK O.D.
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360-6312
Phone number: 219-878-5021
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Mailing Address
JON BAUSBACK O.D.
1040 SIERRA DR STE 400
GREENWOOD, IN 46143-7240
Phone number: 317-528-4248
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