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1124330394
LEO THOMPSON
GRAND RAPIDS, MI
NPI
1124330394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004570)
Enumeration Date
2010-07-05
Last Update Date
2021-04-09
Business Address
LEO THOMPSON O.D.
3083 28TH ST SE
GRAND RAPIDS, MI 49512-1667
Phone number: 616-949-8974
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Mailing Address
LEO THOMPSON O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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