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1740271782
DAVID CLARK LIEBURN
GREEN BAY, WI
NPI
1740271782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 1748-035)
Enumeration Date
2005-10-31
Last Update Date
2009-12-11
Business Address
Dr. DAVID CLARK LIEBURN O.D.
2585 LINEVILLE RD
GREEN BAY, WI 54313-7122
Phone number: 920-662-9450
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Mailing Address
Dr. DAVID CLARK LIEBURN O.D.
3172 ATLANTIS DR
GREEN BAY, WI 54313-7385
Phone number: 920-434-9425
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