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1215047097
DARYL G CUSTRED
JASPER, AL
NPI
1215047097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-505-TA-126)
Enumeration Date
2006-08-30
Last Update Date
2010-11-11
Business Address
Dr. DARYL G CUSTRED O.D.
1499 N AIRPORT RD
JASPER, AL 35504-8882
Phone number: 205-221-3721
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Mailing Address
Dr. DARYL G CUSTRED O.D.
1499 N AIRPORT RD
JASPER, AL 35504-8882
Phone number: 205-221-3721
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