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1396968566
RUSSELL CHAMBLESS
MACON, GA
NPI
1396968566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT001097)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL CHAMBLESS OD
3353 MERCER UNIVERSITY DR
MACON, GA 31204-5082
Phone number: 478-745-1515
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Mailing Address
Dr. RUSSELL CHAMBLESS OD
3353 MERCER UNIVERSITY DRIVE
MACON, GA 31204
Phone number: 478-745-1515
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