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1235571563
LAURA MARIE SUPPA SAMMONS
CHARLESTON, WV
NPI
1235571563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 2002-IOD1)
Enumeration Date
2013-07-29
Last Update Date
2022-01-12
Business Address
Dr. LAURA MARIE SUPPA SAMMONS OD
4202 MACCORKLE AVE SE
CHARLESTON, WV 25304-2502
Phone number: 304-925-4761
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Mailing Address
Dr. LAURA MARIE SUPPA SAMMONS OD
4202 MACCORKLE AVE SE
CHARLESTON, WV 25304-2502
Phone number: 304-925-4761
Copy
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