ETHAN JAMES

MISHAWAKA, IN
NPI1760226757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18004511A)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
ETHAN JAMES OD
4020 EDISON LAKES PKWY
MISHAWAKA, IN 46545-3420
Phone number: 574-271-1114
Mailing Address
ETHAN JAMES OD
1441 E CHERRY ST
VERMILLION, SD 57069-2602
Phone number:
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