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1912137266
FOUNTAINS EYECARE CENTER, PC
FAIRVIEW HEIGHTS, IL
NPI
1912137266
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Entity Type
Organization
Authorized Contact
WAYNE ERIC JONES
President
618-622-3013
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-008905)
Enumeration Date
2009-07-21
Last Update Date
2010-12-03
Business Address
FOUNTAINS EYECARE CENTER, PC
314 FOUNTAINS PKWY SUITE D
FAIRVIEW HEIGHTS, IL 62208-2165
Phone number: 618-622-3013
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Mailing Address
FOUNTAINS EYECARE CENTER, PC
314 FOUNTAINS PKWY SUITE D
FAIRVIEW HEIGHTS, IL 62208-2165
Phone number: 618-622-3013
Copy
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