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1184720013
CRAIG ROBERTS MICKELSON
THIEF RIVER FALLS, MN
NPI
1184720013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1891)
Enumeration Date
2006-09-16
Last Update Date
2011-10-24
Business Address
Dr. CRAIG ROBERTS MICKELSON O.D.
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701-4331
Phone number: 218-681-4747
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Mailing Address
Dr. CRAIG ROBERTS MICKELSON O.D.
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701-4331
Phone number: 218-681-4747
Copy
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