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1356005961
COFFEYVILLE OPTIC SHOP LLC
COFFEYVILLE, KS
NPI
1356005961
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Entity Type
Organization
Authorized Contact
CYNTHIA M DALE
Owner
620-870-4511
Organization Subpart ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
COFFEYVILLE OPTIC SHOP LLC
2205 W 8TH ST STE B
COFFEYVILLE, KS 67337-2950
Phone number: 620-251-0050
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Mailing Address
COFFEYVILLE OPTIC SHOP LLC
4573 CR 2875
COFFEYVILLE, KS 67337-7962
Phone number: 620-870-4511
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