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1164491718
MARK TRACY DEAN
MYRTLE BEACH, SC
NPI
1164491718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 679)
Enumeration Date
2006-03-16
Last Update Date
2011-08-16
Business Address
DR. MARK TRACY DEAN OD
4886 SOCASTEE BLVD
MYRTLE BEACH, SC 29588-7245
Phone number: 843-293-1555
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Mailing Address
DR. MARK TRACY DEAN OD
4886 SOCASTEE BLVD
MYRTLE BEACH, SC 29588-7245
Phone number: 843-293-1555
Copy
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