JACOB DELIS

FORT WAYNE, IN
NPI1780323238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002715)
Enumeration Date2022-06-02
Last Update Date2022-06-02
Business Address
JACOB DELIS OD
3301 LAKE AVE
FORT WAYNE, IN 46805-5529
Phone number: 260-422-3937
Mailing Address
JACOB DELIS OD
3301 LAKE AVE
FORT WAYNE, IN 46805-5529
Phone number: 260-422-3937
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