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1275721581
MEDICAL CLINIC 20/20, INC
HIXSON, TN
NPI
1275721581
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Entity Type
Organization
Authorized Contact
ROGER B HENDERSON
Secretary
423-877-9945
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
MEDICAL CLINIC 20/20, INC
5301 HIGHWAY 153
HIXSON, TN 37343-4966
Phone number: 423-875-9945
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Mailing Address
MEDICAL CLINIC 20/20, INC
5301 HIGHWAY 153
HIXSON, TN 37343-4966
Phone number: 423-875-9945
Copy
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