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Individual

DR. JASON C EUBANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
321 S HILLSIDE ST, WICHITA, KS 67211-2130
(316) 685-1898
(316) 685-4170
Mailing address
321 S HILLSIDE ST, WICHITA, KS 67211-2130
(316) 685-1898
(316) 685-4170

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1595
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100400830A
KS
Enumeration date
02/24/2006
Last updated
07/21/2008
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