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1114035524
MEL S MOSS
PHOENIX, AZ
NPI
1114035524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 162)
Enumeration Date
2006-08-26
Last Update Date
2007-07-08
Business Address
Dr. MEL S MOSS O.D.
6701 N 19TH AVE
PHOENIX, AZ 85015-1102
Phone number: 602-242-6888
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Mailing Address
Dr. MEL S MOSS O.D.
10226 E STONEY VISTA DR
SUN LAKES, AZ 85248-7643
Phone number: 480-802-4120
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