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1750662474
EDDIE DALE MCCLURE
BATON ROUGE, LA
NPI
1750662474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: LA 10-00013656)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- EDDIE DALE MCCLURE Optician
5368 KENNESAW DR
BATON ROUGE, LA 70817-2555
Phone number: 225-753-0441
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Mailing Address
-- EDDIE DALE MCCLURE Optician
3153 E TEXAS ST
BOSSIER CITY, LA 71111-3209
Phone number: 225-753-0441
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