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Organization

MOBILE OPTICAL SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID KENNETH JACKSON ABOC (OWNER & OPTICIAN)
(410) 664-4508
Entity
Organization

Contact information

Practice address
4200 ELDERON AVE, BALTIMORE, MD 21215-4802
(410) 664-4508
(410) 664-0605
Mailing address
4200 ELDERON AVE, BALTIMORE, MD 21215-4802
(410) 664-4508
(410) 664-0605

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
072195
MD

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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