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Individual

MR. JACKIE MICHAEL JONES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3501 N GRANVILLE AVE, MUNCIE, IN 47303-1263
(765) 289-8005
Mailing address
2004 W PURDUE AVE, MUNCIE, IN 47304-1423
(765) 284-4371

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002439B
IN

Other

Enumeration date
09/28/2005
Last updated
11/04/2024
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