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1326279217
MARTY BRAXTON MOORE
SOUTH CHARLESTON, WV
NPI
1326279217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 1064-OD)
Enumeration Date
2009-07-27
Last Update Date
2020-09-24
Business Address
Dr. MARTY BRAXTON MOORE O.D.
80 TECHNOLOGY DR
SOUTH CHARLESTON, WV 25309-8513
Phone number: 304-306-2000
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Mailing Address
Dr. MARTY BRAXTON MOORE O.D.
80 TECHNOLOGY DR
SOUTH CHARLESTON, WV 25309-8513
Phone number: 304-306-2000
Copy
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