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1356694434
VISION SOURCE ALEXANDRIA LLC
ALEXANDRIA, LA
NPI
1356694434
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Entity Type
Organization
Authorized Contact
LACY B SHAW
Owner/Doctor
318-442-7787
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 734-081T)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
VISION SOURCE ALEXANDRIA LLC
5615B JACKSON STREET EXT
ALEXANDRIA, LA 71303-2275
Phone number: 318-442-7787
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Mailing Address
VISION SOURCE ALEXANDRIA LLC
5615B JACKSON STREET EXT
ALEXANDRIA, LA 71303-2275
Phone number: 318-442-7787
Copy
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