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1144304460
MADISON PROFESSIONAL EYECARE ASSOCIATES, INC
MADISON, MS
NPI
1144304460
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Entity Type
Organization
Authorized Contact
BRANDON WALLEY
Owner
601-605-2259
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2006-10-24
Last Update Date
2014-09-10
Business Address
MADISON PROFESSIONAL EYECARE ASSOCIATES, INC
224 WATERFORD SQ
MADISON, MS 39110-6856
Phone number: 601-605-2259
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Mailing Address
MADISON PROFESSIONAL EYECARE ASSOCIATES, INC
224 WATERFORD SQ
MADISON, MS 39110-8409
Phone number: 601-605-2259
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