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1154489573
MICHAEL D. FULFORD, PA
AIKEN, SC
NPI
1154489573
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Entity Type
Organization
Authorized Contact
MICHAEL DENNIS FULFORD
President
803-649-9561
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 517)
Enumeration Date
2006-12-05
Last Update Date
2012-05-04
Business Address
MICHAEL D. FULFORD, PA
304 LAURENS ST NW
AIKEN, SC 29801-3997
Phone number: 803-649-9561
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Mailing Address
MICHAEL D. FULFORD, PA
304 LAURENS ST NW
AIKEN, SC 29801-3997
Phone number: 803-649-9561
Copy
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