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1629240858
KENNETH R GIFT OD
SELINSGROVE, PA
NPI
1629240858
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Entity Type
Organization
Authorized Contact
KENNTH R GIFT
Owner
570-374-0154
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
(Licence: PA G000099)
Enumeration Date
2008-03-27
Last Update Date
2013-02-13
Business Address
KENNETH R GIFT OD
886 ROUTE 522
SELINSGROVE, PA 17870-9712
Phone number: 570-374-0154
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Mailing Address
KENNETH R GIFT OD
886 ROUTE 522
SELINSGROVE, PA 17870-9712
Phone number: 570-374-0154
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