Dr. John Edward Levin

BUSINESS ADDRESS:
312 W UNIVERSITY AVE
SUITE A
Lafayette, LA 705063648

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	312 W UNIVERSITY AVE SUITE A Lafayette, LA 705063648
PHONE:	(337) 236-9880
FAX:	(337) 236-9885

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
State
Postal Code		90210, 90210-1234
Phone		(213) 555-1234
Fax		(213) 555-1234
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