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1063597011
SHAWN ALLEN STOFFREGEN
LA CROSSE, WI
NPI
1063597011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2396)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- SHAWN ALLEN STOFFREGEN O.D.
3800 STATE ROAD 16 SUITE 146
LA CROSSE, WI 54601-1826
Phone number: 608-781-8866
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Mailing Address
-- SHAWN ALLEN STOFFREGEN O.D.
18186 ICICLE RD
SPARTA, WI 54656-4405
Phone number: 608-269-7102
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