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1104003581
CHILDRESS VISION CLINIC
LONGVIEW, TX
NPI
1104003581
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Entity Type
Organization
Authorized Contact
CARL WAYNE CHILDRESS
Owner
903-753-4436
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 1892)
Enumeration Date
2008-01-28
Last Update Date
2008-01-31
Business Address
CHILDRESS VISION CLINIC
408 E MAGRILL ST
LONGVIEW, TX 75601-6444
Phone number: 903-753-4436
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Mailing Address
CHILDRESS VISION CLINIC
408 E MAGRILL ST
LONGVIEW, TX 75601-6444
Phone number: 903-753-4436
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