EDWARD OWEN CLARK

CHESTER, VA
NPI1952012130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: VA  1101003836)
Enumeration Date2022-12-08
Last Update Date2022-12-08
Business Address
EDWARD OWEN CLARK LDO,ABOC
12000 IRON BRIDGE RD
CHESTER, VA 23831-1459
Phone number: 804-768-1273
Mailing Address
EDWARD OWEN CLARK LDO,ABOC
12000 IRON BRIDGE RD
CHESTER, VA 23831-1459
Phone number: 804-768-1273
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