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1720009723
OTIS VICTOR WEATHERHOLT
LYNCHBURG, VA
NPI
1720009723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618000350)
Enumeration Date
2006-07-22
Last Update Date
2011-10-28
Business Address
-- OTIS VICTOR WEATHERHOLT O.D.
1912 GRAVES MILL RD
LYNCHBURG, VA 24502-4237
Phone number: 434-385-7898
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Mailing Address
-- OTIS VICTOR WEATHERHOLT O.D.
1912 GRAVES MILL RD
LYNCHBURG, VA 24502-4237
Phone number: 434-385-7898
Copy
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