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1316941362
MARY K LACONIC
CRYSTAL, MN
NPI
1316941362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1674)
Enumeration Date
2005-06-08
Last Update Date
2011-06-29
Business Address
-- MARY K LACONIC OD
5200 DOUGLAS DR N
CRYSTAL, MN 55429-3104
Phone number: 763-537-3213
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Mailing Address
-- MARY K LACONIC OD
5200 DOUGLAS DR N
CRYSTAL, MN 55429-3104
Phone number: 763-537-3213
Copy
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