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1871645614
DARRELL L TADE
BOWLING GREEN, KY
NPI
1871645614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 1142DT)
Enumeration Date
2007-01-18
Last Update Date
2014-02-03
Business Address
Dr. DARRELL L TADE O.D.
760 CAMPBELL LN STE 120
BOWLING GREEN, KY 42104-1085
Phone number: 270-781-3937
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Mailing Address
Dr. DARRELL L TADE O.D.
760 CAMPBELL LN STE 120
BOWLING GREEN, KY 42104-1085
Phone number: 270-781-3937
Copy
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