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1083657050
SPEC SHOPPE
MARYVILLE, MO
NPI
1083657050
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Entity Type
Organization
Authorized Contact
JEFF FARNAN
Owner
660-582-8911
Organization Subpart ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2006-06-14
Last Update Date
2010-02-12
Business Address
SPEC SHOPPE
1713 S MAIN ST
MARYVILLE, MO 64468
Phone number: 660-582-8911
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Mailing Address
SPEC SHOPPE
1713 S MAIN ST
MARYVILLE, MO 64468-2613
Phone number: 660-582-8911
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