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1275981698
MARK D. WADE O D P C
ALTON, IL
NPI
1275981698
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Entity Type
Organization
Authorized Contact
MARK D. WADE
President
618-462-9818
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO MO2999)
Enumeration Date
2016-05-26
Last Update Date
2023-07-25
Business Address
MARK D. WADE O D P C
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: 618-462-9818
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Mailing Address
MARK D. WADE O D P C
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: 618-462-9818
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