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1972945715
LANDON BLANE BREWER
MAYFIELD, KY
NPI
1972945715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 1917DT)
Enumeration Date
2013-07-22
Last Update Date
2017-03-14
Business Address
Dr. LANDON BLANE BREWER O.D.
1400 COMMONWEALTH DR
MAYFIELD, KY 42066-6845
Phone number: 270-247-2417
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Mailing Address
Dr. LANDON BLANE BREWER O.D.
15933 CLAYTON RD SUITE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393
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