Dr. John R. Avila

BUSINESS ADDRESS:
1213 E COOLSPRING AVE
Michigan City, IN 463606319

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	1213 E COOLSPRING AVE Michigan City, IN 463606319
PHONE:	(219) 872-9151
FAX:	(219) 873-3341

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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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