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1417950262
FRED H MOTHERSHED
TUPELO, MS
NPI
1417950262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MS 451)
Enumeration Date
2005-05-24
Last Update Date
2011-07-26
Business Address
DR. FRED H MOTHERSHED O.D.
3353 N GLOSTER ST
TUPELO, MS 38804-9735
Phone number: 662-844-3555
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Mailing Address
DR. FRED H MOTHERSHED O.D.
3353 N GLOSTER ST
TUPELO, MS 38804-9735
Phone number: 662-844-3555
Copy
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