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1396758504
LEROY MAXWELL
SELMA, AL
NPI
1396758504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S435TA115)
Enumeration Date
2006-08-15
Last Update Date
2010-10-15
Business Address
Mr. LEROY MAXWELL OD MPH
2401 MEDICAL CENTER PKWY
SELMA, AL 36701-7756
Phone number: 334-872-2321
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Mailing Address
Mr. LEROY MAXWELL OD MPH
PO BOX 650
SELMA, AL 36701-0650
Phone number: 334-872-2321
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