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1386741809
KENNETH BLUM
STAMFORD, CT
NPI
1386741809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CT 961)
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
-- KENNETH BLUM OD
100 GREYROCK PLACE STAMFORD TOWN CENTER
STAMFORD, CT 06901-3118
Phone number: 203-359-9600
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Mailing Address
-- KENNETH BLUM OD
100 GREYROCK PLACE STAMFORD TOWN CENTER
STAMFORD, CT 06901-3118
Phone number: 203-359-9600
Copy
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