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1740406214
LAWRENCE RAYMOND CUSTER
MYRTLE BEACH, SC
NPI
1740406214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC SC1237)
Enumeration Date
2007-04-17
Last Update Date
2008-02-28
Business Address
DR. LAWRENCE RAYMOND CUSTER OD
1512 COASTAL GRAND CIR C330
MYRTLE BEACH, SC 29577-0015
Phone number: 843-444-0090
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Mailing Address
DR. LAWRENCE RAYMOND CUSTER OD
PO BOX 50864
MYRTLE BEACH, SC 29579-0015
Phone number: 843-444-0090
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