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1366511388
DARRELL RAY WALTER
BRANDON, FL
NPI
1366511388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC1125)
Enumeration Date
2006-11-06
Last Update Date
2008-04-11
Business Address
Dr. DARRELL RAY WALTER O.D.
107 KINGSWAY RD
BRANDON, FL 33510-4601
Phone number: 813-689-2222
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Mailing Address
Dr. DARRELL RAY WALTER O.D.
107 KINGSWAY RD
BRANDON, FL 33510-4601
Phone number: 813-689-2222
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