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1417956210
MARTIN WAYNE CARPENTER
FAIRMONT, WV
NPI
1417956210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 1013-00)
Enumeration Date
2005-07-14
Last Update Date
2009-12-17
Business Address
Dr. MARTIN WAYNE CARPENTER O.D.
709 MORGANTOWN AVE
FAIRMONT, WV 26554-4331
Phone number: 304-366-4721
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Mailing Address
Dr. MARTIN WAYNE CARPENTER O.D.
709 MORGANTOWN AVE
FAIRMONT, WV 26554-4331
Phone number: 304-366-4721
Copy
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