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1346335833
VELVET JETER MADDOX
ENTERPRISE, AL
NPI
1346335833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AL ALS-686TA163)
Enumeration Date
2006-10-03
Last Update Date
2011-07-22
Business Address
Dr. VELVET JETER MADDOX O.D.
607-C BOLL WEEVIL CIRCLE
ENTERPRISE, AL 36330
Phone number: 334-347-6599
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Mailing Address
Dr. VELVET JETER MADDOX O.D.
607-C BOLL WEEVIL CIRCLE
ENTERPRISE, AL 36330
Phone number: 334-347-6599
Copy
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