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1942462486
ERIC JOHN LEAVITT
SPRINGFIELD, IL
NPI
1942462486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046010313)
Enumeration Date
2008-06-26
Last Update Date
2012-04-05
Business Address
Dr. ERIC JOHN LEAVITT O.D.
3055 W WABASH
SPRINGFIELD, IL 62704-6414
Phone number: 217-793-2273
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Mailing Address
Dr. ERIC JOHN LEAVITT O.D.
8309 N KNOXVILLE AVE
PEORIA, IL 61615-2170
Phone number: 309-693-9540
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