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1639419328
MARK SIVERD OD LLC
COVINGTON, LA
NPI
1639419328
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Entity Type
Organization
Authorized Contact
MARK SIVERD
Optometrist
985-635-6943
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 78933OT)
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
MARK SIVERD OD LLC
880 N HIGHWAY 190
COVINGTON, LA 70433-5147
Phone number: 985-635-6943
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Mailing Address
MARK SIVERD OD LLC
119 PRESIDENT MADISON DR
MADISONVILLE, LA 70447-9486
Phone number: 985-635-6943
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