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1265622971
TARA LEANNE DEW
KOSCIUSKO, MS
NPI
1265622971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MS 776)
Enumeration Date
2007-07-29
Last Update Date
2008-01-22
Business Address
Dr. TARA LEANNE DEW O.D.
59 VETERANS MEMORIAL DR STE. B
KOSCIUSKO, MS 39090-3433
Phone number: 662-289-1067
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Mailing Address
Dr. TARA LEANNE DEW O.D.
PO BOX 778
KOSCIUSKO, MS 39090-0778
Phone number: 662-289-1067
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