JOHN MARK DEBOER

DEMOTTE, IN
NPI1770566556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002449)
Additional Taxonomies152W00000X Optometrist
(Licence: IL  046-008335)
Enumeration Date2005-11-25
Last Update Date2010-09-02
Business Address
Dr. JOHN MARK DEBOER O.D.
609 N HALLECK ST
DEMOTTE, IN 46310-9545
Phone number: 219-987-3673
Mailing Address
Dr. JOHN MARK DEBOER O.D.
PO BOX 849
DEMOTTE, IN 46310-0849
Phone number: 219-987-3673
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