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1518074392
LARA J MARTIN
SPARTANBURG, SC
NPI
1518074392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1371)
Enumeration Date
2006-08-25
Last Update Date
2007-10-25
Business Address
LARA J MARTIN O.D.
735 EAST MAIN ST
SPARTANBURG, SC 29302-1281
Phone number: 864-542-1308
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Mailing Address
LARA J MARTIN O.D.
139 SHELTON DR
SPARTANBURG, SC 29307-2555
Phone number: 864-542-1308
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