KYLE J ANTOS

LAPORTE, IN
NPI1801024732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18003609A)
Enumeration Date2009-06-30
Last Update Date2018-08-14
Business Address
Dr. KYLE J ANTOS O.D.
301 J ST
LAPORTE, IN 46350
Phone number: 219-362-8923
Mailing Address
Dr. KYLE J ANTOS O.D.
301 J ST
LAPORTE, IN 46350-4734
Phone number: 219-362-8923