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1124401773
MATTHEW GIFFORD
MISHAWAKA, IN
NPI
1124401773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18003913A)
Enumeration Date
2015-07-01
Last Update Date
2024-05-20
Business Address
MATTHEW GIFFORD OD
5111 N MAIN ST REET STE 200
MISHAWAKA, IN 46545
Phone number: 574-277-8121
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Mailing Address
MATTHEW GIFFORD OD
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 22182-2442
Phone number: 703-847-8899
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