RAYMOND CALVIN SHACKELFORD

HERNANDO, MS
NPI1558499640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MS  OD589-94300)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- RAYMOND CALVIN SHACKELFORD OD
2350 MT PLEASANT RD
HERNANDO, MS 38632-1909
Phone number: 662-429-4448
Mailing Address
-- RAYMOND CALVIN SHACKELFORD OD
8815 MILLBRANCH RD
SOUTHAVEN, MS 38671-2312
Phone number: 662-393-4161
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