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1558385898
CHARLES A. JESSUP
INDEPENDENCE, MO
NPI
1558385898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO T02195)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
CHARLES A. JESSUP O.D.
4000 LITTLE BLUE PKWY
INDEPENDENCE, MO 64057-8309
Phone number: 816-795-1122
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Mailing Address
CHARLES A. JESSUP O.D.
8857 W 75TH ST
OVERLAND PARK, KS 66204-2206
Phone number: 913-362-8822
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