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1205823648
CHARLES LANNOM
EDEN PRAIRIE, MN
NPI
1205823648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1825)
Enumeration Date
2005-09-30
Last Update Date
2024-07-01
Business Address
CHARLES LANNOM OD
16550 W 78TH ST SUITE A
EDEN PRAIRIE, MN 55346-4315
Phone number: 952-934-6926
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Mailing Address
CHARLES LANNOM OD
16550 W 78TH ST SUITE A
EDEN PRAIRIE, MN 55346-4315
Phone number: 952-934-6926
Copy
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