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1548395049
GAYLAN WAYNE MOUSHON
SPRINGFIELD, IL
NPI
1548395049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 0460088755)
Enumeration Date
2007-02-23
Last Update Date
2020-05-21
Business Address
Dr. GAYLAN WAYNE MOUSHON O.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
Dr. GAYLAN WAYNE MOUSHON O.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Copy
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