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1013116201
NORTH COAST OPTICAL
MADISON, OH
NPI
1013116201
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Entity Type
Organization
Authorized Contact
MARK A BASHORE
Owner
440-428-2172
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 4001)
Enumeration Date
2007-07-17
Last Update Date
2007-12-03
Business Address
NORTH COAST OPTICAL
6380 N RIDGE RD
MADISON, OH 44057-2548
Phone number: 440-428-2172
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Mailing Address
NORTH COAST OPTICAL
6380 N RIDGE RD
MADISON, OH 44057-2548
Phone number: 440-428-2172
Copy
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