DEREK LUKE MADDOX

GRAND ISLAND, NE
NPI1992315196
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: NE  1516)
Enumeration Date2020-08-03
Last Update Date2023-12-14
Business Address
DEREK LUKE MADDOX OD
3540 PRAIRIEVIEW ST
GRAND ISLAND, NE 68803
Phone number: 308-384-6922
Mailing Address
DEREK LUKE MADDOX OD
3540 PRAIRIEVIEW ST
GRAND ISLAND, NE 68803
Phone number: 308-384-6922
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