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1023504818
TRENT WAYNE MARTIN
JACKSON, TN
NPI
1023504818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 3468)
Enumeration Date
2018-07-05
Last Update Date
2021-07-26
Business Address
TRENT WAYNE MARTIN OD
1296 UNION UNIVERSITY DR STE B
JACKSON, TN 38305-3714
Phone number: 731-513-5755
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Mailing Address
TRENT WAYNE MARTIN OD
113 CORTEZ CV
DYERSBURG, TN 38024-8490
Phone number: 731-610-0858
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