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1598729956
FRED L BIRMINGHAM
SLIDELL, LA
NPI
1598729956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 984-213T)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
Mr. FRED L BIRMINGHAM O.D.
1173 ROBERT BLVD
SLIDELL, LA 70458-2013
Phone number: 985-847-0081
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Mailing Address
Mr. FRED L BIRMINGHAM O.D.
150 W PINEWOOD DR
SLIDELL, LA 70458-1363
Phone number: 985-847-0081
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