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1356497432
JEFFERY M ICEBERG
FLINT, MI
NPI
1356497432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901003330)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY M ICEBERG OD
3192 S LINDEN RD SUITE B121
FLINT, MI 48507
Phone number: 810-230-9300
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Mailing Address
Mr. JEFFERY M ICEBERG OD
140 MACOMB
MT CLEMENS, MI 48043
Phone number: 586-468-7370
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