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1063479111
SAM O RUSSELL
FLORENCE, SC
NPI
1063479111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 601)
Enumeration Date
2006-05-01
Last Update Date
2008-04-24
Business Address
DR. SAM O RUSSELL OD
240 W EVANS ST
FLORENCE, SC 29501-3428
Phone number: 843-662-3278
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Mailing Address
DR. SAM O RUSSELL OD
240 W EVANS ST
FLORENCE, SC 29501-3428
Phone number: 843-662-3278
Copy
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