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1184821621
JEREMY LEN DIAMOND
JEFFERSON CITY, TN
NPI
1184821621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 2748)
Enumeration Date
2007-06-28
Last Update Date
2016-03-24
Business Address
DR. JEREMY LEN DIAMOND O.D.
741 E BROADWAY BLVD
JEFFERSON CITY, TN 37760-4907
Phone number: 865-475-8680
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Mailing Address
DR. JEREMY LEN DIAMOND O.D.
PO BOX 247
JEFFERSON CITY, TN 37760-0247
Phone number: 865-475-8680
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