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Individual

DAVID V OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
426 E MAIN ST, CHARLESTON, MS 38921-2413
(662) 647-8707
(662) 647-8706
Mailing address
426 E MAIN ST, CHARLESTON, MS 38921-2413
(662) 647-8707
(662) 647-8706

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
426
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00087700
MS
Enumeration date
11/27/2007
Last updated
03/25/2008
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