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1710088711
JEREMY SHANE CAMPBELL
RUSSELLVILLE, AL
NPI
1710088711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-A80-TA-660)
Enumeration Date
2006-09-25
Last Update Date
2010-10-27
Business Address
Dr. JEREMY SHANE CAMPBELL O.D.
14378 HIGHWAY 43
RUSSELLVILLE, AL 35653-2568
Phone number: 256-332-1355
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Mailing Address
Dr. JEREMY SHANE CAMPBELL O.D.
14378 HIGHWAY 43
RUSSELLVILLE, AL 35653-2568
Phone number: 256-332-1355
Copy
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