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1881917979
JEREMY DAVID WALZ
CHARLESTON, SC
NPI
1881917979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14317)
Enumeration Date
2010-03-04
Last Update Date
2018-09-19
Business Address
Dr. JEREMY DAVID WALZ O.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-6927
Phone number: 843-792-1414
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Mailing Address
Dr. JEREMY DAVID WALZ O.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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