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1982982013
JONATHAN REDDELL
LEAVENWORTH, KS
NPI
1982982013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1900)
Enumeration Date
2011-07-22
Last Update Date
2011-07-22
Business Address
-- JONATHAN REDDELL O.D.
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929
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Mailing Address
-- JONATHAN REDDELL O.D.
2301 10TH AVE
LEAVENWORTH, KS 66048-4214
Phone number: 913-682-2929
Copy
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