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1912435132
JACOB DAVID MACDONALD
NORTH CHARLESTON, SC
NPI
1912435132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1989)
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
JACOB DAVID MACDONALD OD
7800 RIVERS AVE
NORTH CHARLESTON, SC 29406-4057
Phone number: 843-572-3404
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Mailing Address
JACOB DAVID MACDONALD OD
2611 RANGER DR
NORTH CHARLESTON, SC 29405-7391
Phone number:
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