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1154737401
MICHAEL QUACKENBUSH
HIXSON, TN
NPI
1154737401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 3177)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
Dr. MICHAEL QUACKENBUSH O.D.
5433 HIXSON PIKE
HIXSON, TN 37343-3238
Phone number: 423-843-2020
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Mailing Address
Dr. MICHAEL QUACKENBUSH O.D.
5433 HIXSON PIKE
HIXSON, TN 37343-3238
Phone number: 423-843-2020
Copy
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