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1265484042
JAMES CHARLES FORNES , OD
GREEN BAY, WI
NPI
1265484042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 1465)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- JAMES CHARLES FORNES , OD O.D.
301 BAY PARK SQ
GREEN BAY, WI 54304-5104
Phone number: 920-499-3511
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Mailing Address
-- JAMES CHARLES FORNES , OD O.D.
301 BAY PARK SQ
GREEN BAY, WI 54304-5104
Phone number: 920-499-3511
Copy
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