Organization
SHOE STORE, LLC
Active
Other names
Oppedisano's Bootery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARAN BEDENBAUGH (ACCOUNTING MANAGER)
(352) 538-3376
Entity
Organization
Contact information
Practice address
12 N MAIN ST, HONEOYE FALLS, NY 14472-1071
(180) 091-3746
Mailing address
12 N MAIN ST, HONEOYE FALLS, NY 14472-1071
(180) 091-3746
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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