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1790777191
JEFF BIRDSONG
BOONVILLE, MO
NPI
1790777191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2004017361)
Enumeration Date
2005-08-22
Last Update Date
2008-09-09
Business Address
-- JEFF BIRDSONG O.D.
505 E WALNUT ST
BOONVILLE, MO 65233-1665
Phone number: 660-882-2444
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Mailing Address
-- JEFF BIRDSONG O.D.
505 E WALNUT ST
BOONVILLE, MO 65233-1665
Phone number: 660-882-2444
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