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1487183927
MARK RICHARD ORTIZ
BIRMINGHAM, AL
NPI
1487183927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL T-231-TA-A73)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
MARK RICHARD ORTIZ OD
1716 UNIVERSITY BLVD # G080A
BIRMINGHAM, AL 35233-1816
Phone number: 205-975-2020
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Mailing Address
MARK RICHARD ORTIZ OD
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294-0010
Phone number: 205-975-2020
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