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1336427178
JUSTIN LEE FUNK
ENID, OK
NPI
1336427178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2696)
Enumeration Date
2011-07-27
Last Update Date
2011-07-27
Business Address
Dr. JUSTIN LEE FUNK O.D.
517 W MAINE AVE
ENID, OK 73701-5542
Phone number: 580-242-2300
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Mailing Address
Dr. JUSTIN LEE FUNK O.D.
517 W MAINE AVE
ENID, OK 73701-5542
Phone number: 580-242-2300
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