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Individual

DR. JANICE EULA COATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4387 PARKWAY DR, DAYTON, OH 45416-1638
(937) 278-7391
(937) 278-9418
Mailing address
4387 PARKWAY DR, DAYTON, OH 45416-1638
(937) 278-7391
(937) 278-9418

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3450 T1613
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419612
OH
01
10277
COORDINATED VISION CARE
OH
01
142338
EYE MED
OH
01
23693
SPECTERA
OH
01
2983
VISION OF AMERICA
OH
01
310981905026
CARESOURCE
OH
01
31238
DAVIS VISION
OH
01
360296
NATIONAL VISION SERVICE
OH
01
903323
BLOCK VISION
OH
Enumeration date
04/13/2007
Last updated
07/09/2007
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