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1861400517
TRACIE L SPONSELLER
AUGUSTA, GA
NPI
1861400517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT002160)
Enumeration Date
2006-08-04
Last Update Date
2014-03-10
Business Address
DR. TRACIE L SPONSELLER OD
3152 WASHINGTON RD
AUGUSTA, GA 30907-3891
Phone number: 706-651-1291
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Mailing Address
DR. TRACIE L SPONSELLER OD
3152 WASHINGTON RD
AUGUSTA, GA 30907-3891
Phone number: 706-651-1291
Copy
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