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1003908237
GARY L. BEAVER
INDEPENDENCE, KS
NPI
1003908237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1294-3)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. GARY L. BEAVER O.D.
300 W LAUREL ST
INDEPENDENCE, KS 67301-3315
Phone number: 620-331-2112
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Mailing Address
Dr. GARY L. BEAVER O.D.
PO BOX 47
INDEPENDENCE, KS 67301-0047
Phone number: 620-331-2112
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