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1245717248
MICHAEL BRADFORD JELKS
ZACHARY, LA
NPI
1245717248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 1871-806AT)
Enumeration Date
2018-07-23
Last Update Date
2020-03-27
Business Address
-- MICHAEL BRADFORD JELKS O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061
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Mailing Address
-- MICHAEL BRADFORD JELKS O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061
Copy
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