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1689671877
TERRY S MANGOLD
KEYSER, WV
NPI
1689671877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV WV718-OD)
Enumeration Date
2005-07-01
Last Update Date
2008-08-07
Business Address
-- TERRY S MANGOLD OD
1405 CHANDELL ST KEYSER
KEYSER, WV 26726-2012
Phone number: 304-788-5961
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Mailing Address
-- TERRY S MANGOLD OD
1405 CHANDELL ST KEYSER
KEYSER, WV 26726-2012
Phone number: 304-788-5961
Copy
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