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1356492078
JEFFREY TODD LEBSOCK
MISSOULA, MT
NPI
1356492078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MT 606)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY TODD LEBSOCK O.D.
3220 NORTH RESERVE ST.
MISSOULA, MT 59808
Phone number: 406-542-0191
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Mailing Address
Mr. JEFFREY TODD LEBSOCK O.D.
15940 SEMINOLE DR. PO BOX 585
FRENCHTOWN, MT 59834-0585
Phone number: 406-626-0501
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