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Organization · Optometrist · New Brighton, MN

NPI
1639202559
Type
Organization (Type 2)
Primary specialty
Optometrist
Specialty group
Eye and Vision Services Providers
Taxonomy code
152W00000X
License number
2236 (MN)
Enumerated
2007-03-13
Last updated
2009-03-18
Practice location
2655 Innsbruck Dr, Suite B
New Brighton, MN 55112-9303
(651) 636-2020

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