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Organization

HAGOPIAN SHOES, LLC

Active
Other names
Cleary's Shoes & Boots
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW HAGOPIAN L.PED (OWNER)
(618) 254-0276
Entity
Organization

Contact information

Practice address
48 E FERGUSON AVE, WOOD RIVER, IL 62095
(618) 254-0276
(618) 254-1233
Mailing address
48 E FERGUSON AVE, WOOD RIVER, IL 62095
(618) 254-0276
(618) 254-1233

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
212000071
IL

Other

Enumeration date
06/26/2006
Last updated
06/22/2018
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