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1467453993
TAMMY LYNN WIETIES
ROBINSON, IL
NPI
1467453993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008222)
Enumeration Date
2005-08-09
Last Update Date
2012-02-22
Business Address
Mrs. TAMMY LYNN WIETIES OD
905 W MEFFORD ST
ROBINSON, IL 62454-1065
Phone number: 618-544-3525
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Mailing Address
Mrs. TAMMY LYNN WIETIES OD
905 W MEFFORD ST
ROBINSON, IL 62454-1065
Phone number: 618-544-3525
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