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1235180233
KENNETH H RISTAU
MARSHALL, MN
NPI
1235180233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2643)
Enumeration Date
2006-05-14
Last Update Date
2007-07-08
Business Address
Dr. KENNETH H RISTAU O.D.
1200 SUSAN DR
MARSHALL, MN 56258-2580
Phone number: 507-537-9652
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Mailing Address
Dr. KENNETH H RISTAU O.D.
1200 SUSAN DR
MARSHALL, MN 56258-2580
Phone number: 507-537-9652
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