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1245490630
DALE HASTY
SHELBYVILLE, TN
NPI
1245490630
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Entity Type
Organization
Authorized Contact
KENNETH DALE HASTY
Owner
934-684-2020
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN ODT001018)
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
DALE HASTY
605 N MAIN ST
SHELBYVILLE, TN 37160-3210
Phone number: 931-684-2020
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Mailing Address
DALE HASTY
605 N MAIN ST
SHELBYVILLE, TN 37160-3210
Phone number: 931-684-2020
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