Individual
MR. JACK W RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
343 GILL ST, ALCOA, TN 37701-2415
(865) 982-5317
(865) 982-5935
Mailing address
343 GILL ST, ALCOA, TN 37701-2415
(865) 982-5317
(865) 982-5935
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DPO 446
TN
Other
Enumeration date
01/04/2007
Last updated
09/24/2009
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