JAY ROSER EBBESEN

DEKALB, IL
NPI1801940580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  152W00000X)
Enumeration Date2007-01-22
Last Update Date2011-09-21
Business Address
Dr. JAY ROSER EBBESEN OD
121 E LOCUST ST
DEKALB, IL 60115-3207
Phone number: 815-756-6388
Mailing Address
Dr. JAY ROSER EBBESEN OD
121 E LOCUST ST
DEKALB, IL 60115-3207
Phone number: 815-756-6388
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