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NPI Profile for WAL MART STORES EAST LP in GAINESVILLE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1447425202 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/23/2008 | |
| Last updated | 04/23/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WAL-MART STORES EAST, LP
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| OPTICAL LABORATORY LLC 618 SW 4TH AVENUE GAINESVILLE, FL |
| JOHN BUCKNER, OD 6757 W NEWBERRY RD GAINESVILLE, FL |
| JOHN R HALLINAN, OPTICIAN 2900 SW 42ND ST GAINESVILLE, FL |
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WAL-MART STORES EAST, LP