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1902943194
JOHN ROBERT DAVIS
ROSWELL, NM
NPI
1902943194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 228)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- JOHN ROBERT DAVIS OD
4400 NORTH MAIN STREET
ROSWELL, NM 88201
Phone number: 505-627-9872
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Mailing Address
-- JOHN ROBERT DAVIS OD
104 FAIRWAY DR
DEXTER, NM 88230-9635
Phone number: 505-734-2020
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