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1144212028
LEO J PRENTICE
WOODRIDGE, IL
NPI
1144212028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046007225)
Enumeration Date
2005-08-17
Last Update Date
2007-07-08
Business Address
-- LEO J PRENTICE O.D.
7451 WOODWARD AVE SUITE 101
WOODRIDGE, IL 60517-2665
Phone number: 630-663-9112
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Mailing Address
-- LEO J PRENTICE O.D.
7451 WOODWARD AVE SUITE 101
WOODRIDGE, IL 60517-2665
Phone number: 630-663-9112
Copy
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