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Individual

JOHN MURPHY ROA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIC OPTICIAN

Contact information

Practice address
104 E INDIANA AVE, DELAND, FL 32724-4330
(386) 736-8080
(386) 736-8080
Mailing address
104 E INDIANA AVE, DELAND, FL 32724-4330
(386) 736-8080
(386) 736-8080

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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