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1952447468
SUSAN M NELSON
MACON, GA
NPI
1952447468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: GA LDO001396)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
SUSAN M NELSON LDO
236 TOM HILL SR BLVD
MACON, GA 31210-1815
Phone number: 478-471-7686
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Mailing Address
SUSAN M NELSON LDO
3131 PIO NONO AVE
MACON, GA 31206-3027
Phone number: 478-781-2159
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