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Organization

SUNLAND OPTICAL CO., INC.

Active
Other names
Fort Jackson
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK W. MUSGRAVE (CFO)
(915) 591-9483
Entity
Organization

Contact information

Practice address
1156 BARRANCA DR, EL PASO, TX 79935-5002
(915) 591-9483
Mailing address
4110 MOSBY STREET, FORT JACKSON, SC 29206
(803) 787-6670
(803) 790-0498

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
025315
DC

Other

Enumeration date
04/10/2013
Last updated
04/10/2013
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