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1063528446
MICHAEL ALLEN KEITH
JOHNSON CITY, TN
NPI
1063528446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN T 1320)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL ALLEN KEITH O.D.
119 BOONE RIDGE DR SUITE 101
JOHNSON CITY, TN 37615-4998
Phone number: 423-283-7300
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Mailing Address
Dr. MICHAEL ALLEN KEITH O.D.
119 BOONE RIDGE DR SUITE 101
JOHNSON CITY, TN 37615-4998
Phone number: 423-283-7300
Copy
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