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1366895005
BLACK & WHITE LOOK OPTICAL CORP
SOUTHFIELD, MI
NPI
1366895005
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Entity Type
Organization
Authorized Contact
PATRICE COATES
Biller
248-219-9782
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
BLACK & WHITE LOOK OPTICAL CORP
15675 W 10 MILE RD
SOUTHFIELD, MI 48075-2188
Phone number: 248-557-6444
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Mailing Address
BLACK & WHITE LOOK OPTICAL CORP
15675 W 10 MILE RD
SOUTHFIELD, MI 48075-2188
Phone number: 248-557-6444
Copy
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