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Individual

WILLIAM HAROLD JONES JR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
117 S MAIN ST, SULLIVAN, IN 47882-1804
(812) 268-4700
(812) 268-4701
Mailing address
117 S MAIN ST, SULLIVAN, IN 47882-1804
(812) 268-4700
(812) 268-4701

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003075A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200440140
IN
Enumeration date
09/21/2005
Last updated
08/02/2010
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