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1114205994
TRAVIS W THOMPSON
ADA, OK
NPI
1114205994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2716)
Enumeration Date
2011-07-28
Last Update Date
2015-01-07
Business Address
TRAVIS W THOMPSON
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
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Mailing Address
TRAVIS W THOMPSON
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Copy
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