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1912139031
MATTHEW BRIAN CHAVOUSTIE
BROCKTON, MA
NPI
1912139031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA OEG002274)
Enumeration Date
2009-08-24
Last Update Date
2009-08-24
Business Address
-- MATTHEW BRIAN CHAVOUSTIE O.D.
940 BELMONT ST VA BROCKTON EYE CLINIC
BROCKTON, MA 02301-5596
Phone number: 315-778-9215
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Mailing Address
-- MATTHEW BRIAN CHAVOUSTIE O.D.
940 BELMONT ST VA BROCKTON EYE CLINIC
BROCKTON, MA 02301-5596
Phone number: 315-778-9215
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