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1093889024
MICHAEL KOTLICKY
COLUMBIA, MD
NPI
1093889024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WV0400X Optometrist, Vision Therapy
(Licence: MD TA0750)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL KOTLICKY O.D.
8827 COLUMBIA 100 PKWY STE 3 THE SIGNATURE CENTRE
COLUMBIA, MD 21045-2178
Phone number: 410-730-5808
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Mailing Address
Dr. MICHAEL KOTLICKY O.D.
8827 COLUMBIA 100 PKWY STE 3 THE SIGNATURE CENTRE
COLUMBIA, MD 21045-2178
Phone number: 410-730-5808
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