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1114074416
NICHOLAS GEORGE HAFEMAN
APPLETON, WI
NPI
1114074416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2770 - 035)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- NICHOLAS GEORGE HAFEMAN O.D.
4301 W WISCONSIN AVE
APPLETON, WI 54913-8605
Phone number: 920-730-8770
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Mailing Address
-- NICHOLAS GEORGE HAFEMAN O.D.
4301 W WISCONSIN AVE FOX RIVER MALL
APPLETON, WI 54913-8605
Phone number: 920-757-9580
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