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1043376726
MICHAEL P JACQUEMIN
HOLLAND, MI
NPI
1043376726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004403)
Enumeration Date
2006-12-28
Last Update Date
2021-04-05
Business Address
MICHAEL P JACQUEMIN OD
12659 RILEY ST
HOLLAND, MI 49424-9215
Phone number: 616-399-1440
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Mailing Address
MICHAEL P JACQUEMIN OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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