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1407801087
AEG WISCONSIN PROFESSIONAL LTD
HUDSON, WI
NPI
1407801087
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Entity Type
Organization
Authorized Contact
CASEY BENNINGTON
Authorized Official
618-462-9818
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2006-05-23
Last Update Date
2024-01-24
Business Address
AEG WISCONSIN PROFESSIONAL LTD
2215 VINE ST SUITE E
HUDSON, WI 54016-5802
Phone number: 715-381-1234
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Mailing Address
AEG WISCONSIN PROFESSIONAL LTD
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: 618-462-9818
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