JACOB ANDREW BOROFF

DAYTON, OH
NPI1740784537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OH  OPT.006634)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-19
Last Update Date2018-06-24
Business Address
JACOB ANDREW BOROFF
4100 W 3RD ST
DAYTON, OH 45428
Phone number: 937-268-6511
Mailing Address
JACOB ANDREW BOROFF
275 E 15TH AVE
COLUMBUS, OH 43201-1901
Phone number: 419-566-7391