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1124154505
MARK A. DAVIS
BOAZ, AL
NPI
1124154505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-532-TA-292)
Enumeration Date
2007-02-27
Last Update Date
2008-02-01
Business Address
MARK A. DAVIS O.D.
510 N MAIN ST
BOAZ, AL 35957-1432
Phone number: 256-593-1986
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Mailing Address
MARK A. DAVIS O.D.
510 N MAIN ST
BOAZ, AL 35957-1432
Phone number: 256-593-1986
Copy
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