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Individual

DR. RYAN JEFFREY WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8 DUNLAP CT, SAVOY, IL 61874-9501
(217) 398-2020
Mailing address
1104 N VERMILION ST, DANVILLE, IL 61832-3094

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010773
IL

Other

Enumeration date
05/30/2014
Last updated
05/30/2014
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