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1366636599
PROFESSIONAL OPTICAL
FARGO, ND
NPI
1366636599
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Entity Type
Organization
Authorized Contact
DANIEL J LEVIN
Doctor/O PT Ometrist
701-298-0643
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2007-08-30
Last Update Date
2022-07-21
Business Address
PROFESSIONAL OPTICAL
4344 20TH AVE SW
FARGO, ND 58103-4434
Phone number: 701-299-0643
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Mailing Address
PROFESSIONAL OPTICAL
4344 20TH AVE SW
FARGO, ND 58103-4434
Phone number: 701-299-0643
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