BENJAMIN MATLACK SWEDE

FORT LEONARD WOOD, MO
NPI1912917279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MN  1461)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
Dr. BENJAMIN MATLACK SWEDE O.D.
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
Mailing Address
Dr. BENJAMIN MATLACK SWEDE O.D.
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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