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1376523654
GARY E TATUM
JASPER, TX
NPI
1376523654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 1847T)
Enumeration Date
2006-01-20
Last Update Date
2013-04-24
Business Address
-- GARY E TATUM OD
922 N WHEELER ST
JASPER, TX 75951-3129
Phone number: 409-384-5192
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Mailing Address
-- GARY E TATUM OD
922 N WHEELER ST
JASPER, TX 75951-3129
Phone number: 409-384-5192
Copy
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