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1265832208
BEAVERDALE EYE PC
DES MOINES, IA
NPI
1265832208
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Entity Type
Organization
Authorized Contact
BLAINE R BRUNSEN
Owner
515-274-4141
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
BEAVERDALE EYE PC
2628 BEAVER AVE
DES MOINES, IA 50310-3908
Phone number: 515-274-4141
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Mailing Address
BEAVERDALE EYE PC
2628 BEAVER AVE
DES MOINES, IA 50310-3908
Phone number: 515-274-4141
Copy
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