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1255165932
KENNEDY VISION HEALTH CENTER, LLC
OTSEGO, MN
NPI
1255165932
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Entity Type
Organization
Authorized Contact
ANTHONY CHARLES TRAVERSE
Od/Owner
763-545-8850
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
KENNEDY VISION HEALTH CENTER, LLC
9075 QUANTRELLE AVE NE STE 300
OTSEGO, MN 55330-0139
Phone number: 763-545-8850
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Mailing Address
KENNEDY VISION HEALTH CENTER, LLC
10600 OLD COUNTY ROAD 15
PLYMOUTH, MN 55441-6200
Phone number: 763-373-6042
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