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1376534198
KENNETH MICHAEL ANDERSON
MONTEVALLO, AL
NPI
1376534198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S495TA007)
Enumeration Date
2005-11-01
Last Update Date
2009-06-24
Business Address
KENNETH MICHAEL ANDERSON O.D.
977 MAIN ST
MONTEVALLO, AL 35115-3847
Phone number: 205-665-1488
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Mailing Address
KENNETH MICHAEL ANDERSON O.D.
977 MAIN ST
MONTEVALLO, AL 35115-3847
Phone number: 205-665-1488
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