DAVID LAWRENCE PRUDHOMME

VICKSBURG, MS
NPI1093901761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MS  MS 579)
Enumeration Date2007-09-17
Last Update Date2007-09-17
Business Address
Dr. DAVID LAWRENCE PRUDHOMME O.D.
3505 PEMBERTON SQUARE BLVD SUITE 45
VICKSBURG, MS 39180-5537
Phone number: 601-630-9199
Mailing Address
Dr. DAVID LAWRENCE PRUDHOMME O.D.
PO BOX 821135
VICKSBURG, MS 39182-1135
Phone number: 601-630-9199
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