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1801810189
SCOTT DALE STAATZ
BETHANY, MO
NPI
1801810189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MO TO3394)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. SCOTT DALE STAATZ O.D.
2707 MILLER ST
BETHANY, MO 64424-2704
Phone number: 660-425-8116
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Mailing Address
Dr. SCOTT DALE STAATZ O.D.
2707 MILLER ST
BETHANY, MO 64424-2704
Phone number: 660-425-8116
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