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1295259828
LAVELL EDWARD BROOKS
UNION SPRINGS, AL
NPI
1295259828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AL 6136761)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
Mr. LAVELL EDWARD BROOKS optician
234 N PRAIRIE STREET
UNION SPRINGS, AL 36089
Phone number: 334-324-6832
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Mailing Address
Mr. LAVELL EDWARD BROOKS optician
3160 BOZEMAN DR
MONTGOMERY, AL 36108-3944
Phone number: 334-324-6832
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