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1821109596
FRED JEFFREY SIROTKIN
COLUMBIA, MD
NPI
1821109596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MD MD TA870)
Enumeration Date
2006-08-31
Last Update Date
2008-01-31
Business Address
FRED JEFFREY SIROTKIN O.D.
6350 STEVENS FOREST RD SUITE #101
COLUMBIA, MD 21046-3231
Phone number: 410-964-8516
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Mailing Address
FRED JEFFREY SIROTKIN O.D.
6350 STEVENS FOREST RD SUITE #101
COLUMBIA, MD 21046-3231
Phone number: 410-964-8516
Copy
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