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1992322614
GLEN MEADOR
SOUTHFIELD, MI
NPI
1992322614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005465)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
GLEN MEADOR OD
29157 SOUTHFIELD RD
SOUTHFIELD, MI 48076-1900
Phone number: 248-234-9200
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Mailing Address
GLEN MEADOR OD
118 CASS AVE
MOUNT CLEMENS, MI 48043-2204
Phone number: 586-464-7370
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