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1194718379
JIMMY H ELAM
POPLAR BLUFF, MO
NPI
1194718379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2189)
Enumeration Date
2005-08-24
Last Update Date
2011-12-13
Business Address
-- JIMMY H ELAM OD
2511 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2338
Phone number: 573-686-5866
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Mailing Address
-- JIMMY H ELAM OD
PO BOX 1178
MARION, IL 62959-7678
Phone number: 618-993-5686
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