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1023630787
MID-STATE EYE PARTNERS INC
DECATUR, IL
NPI
1023630787
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Entity Type
Organization
Authorized Contact
BRADLEY STEWART GRANT
Optometrist
217-774-4422
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2020-05-15
Last Update Date
2020-06-06
Business Address
MID-STATE EYE PARTNERS INC
2442 N ROUTE 121
DECATUR, IL 62526-9461
Phone number: 217-233-3101
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Mailing Address
MID-STATE EYE PARTNERS INC
2442 N ROUTE 121
DECATUR, IL 62526-9461
Phone number: 217-233-3101
Copy
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