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1376515361
KENNETH R MOULTRIE
HUNTSVILLE, AL
NPI
1376515361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S536TA063)
Enumeration Date
2006-02-03
Last Update Date
2017-02-02
Business Address
KENNETH R MOULTRIE OD
600 WASHINGTON ST NW
HUNTSVILLE, AL 35801-4751
Phone number: 256-533-6838
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Mailing Address
KENNETH R MOULTRIE OD
15933 CLAYTON RD SUITE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393
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