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1861572992
GLENN R SUDBURY
TAMPA, FL
NPI
1861572992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC1195)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. GLENN R SUDBURY OD
4814 N HABANA AVE
TAMPA, FL 33614-6871
Phone number: 813-870-3942
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Mailing Address
Dr. GLENN R SUDBURY OD
4814 N HABANA AVE
TAMPA, FL 33614-6871
Phone number: 813-870-3942
Copy
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