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1235253725
MARTIN ALAN KANSOL
LAKE MARY, FL
NPI
1235253725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC002152)
Enumeration Date
2007-03-19
Last Update Date
2009-05-08
Business Address
Dr. MARTIN ALAN KANSOL O.D.
3098 W LAKE MARY BLVD
LAKE MARY, FL 32746-6742
Phone number: 407-321-6434
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Mailing Address
Dr. MARTIN ALAN KANSOL O.D.
3098 W LAKE MARY BLVD
LAKE MARY, FL 32746-6742
Phone number: 407-321-6434
Copy
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