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1053486803
DEBLACK EYE CARE CENTER, P.A.
CONWAY, AR
NPI
1053486803
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Entity Type
Organization
Authorized Contact
SUSAN SANDERS DEBLACK
Optometrist
501-329-7878
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2006-11-21
Last Update Date
2020-08-22
Business Address
DEBLACK EYE CARE CENTER, P.A.
4150 TYLER STREET, SUITE 1
CONWAY, AR 72034
Phone number: 501-329-7878
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Mailing Address
DEBLACK EYE CARE CENTER, P.A.
4150 TYLER STREET, SUITE 1
CONWAY, AR 72034
Phone number: 501-329-7878
Copy
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