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1376161703
MICHAEL DAVID SPULLER
MANNING, SC
NPI
1376161703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 2208)
Enumeration Date
2020-07-13
Last Update Date
2021-11-15
Business Address
MICHAEL DAVID SPULLER OD
1774 PAXVILLE HWY
MANNING, SC 29102-5071
Phone number: 803-435-2494
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Mailing Address
MICHAEL DAVID SPULLER OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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