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1740520790
HOOSIER EYE DOCTOR INC
BLOOMINGTON, IN
NPI
1740520790
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Entity Type
Organization
Authorized Contact
JAN DITTMAN
Co Manager
812-876-2020
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003199A)
Enumeration Date
2013-02-27
Last Update Date
2013-04-12
Business Address
HOOSIER EYE DOCTOR INC
4719 W STATE ROAD 46
BLOOMINGTON, IN 47404-9518
Phone number: 812-876-2020
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Mailing Address
HOOSIER EYE DOCTOR INC
4719 W STATE ROAD 46
BLOOMINGTON, IN 47404-9518
Phone number: 812-876-2020
Copy
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