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1053759340
JAN'S OPTICAL LLC
WAUPUN, WI
NPI
1053759340
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Entity Type
Organization
Authorized Contact
TERESA RUCH
Owner
920-324-8608
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 3069-035)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
JAN'S OPTICAL LLC
223 E MAIN ST
WAUPUN, WI 53963-2019
Phone number: 920-324-8608
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Mailing Address
JAN'S OPTICAL LLC
PO BOX 163
WAUPUN, WI 53963-0163
Phone number: 920-324-8608
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