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1407842040
THOMAS LEES
FORT GRATIOT, MI
NPI
1407842040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901003021)
Enumeration Date
2005-09-20
Last Update Date
2021-03-05
Business Address
THOMAS LEES OD
3957 24TH AVE
FORT GRATIOT, MI 48059-4102
Phone number: 810-984-5005
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Mailing Address
THOMAS LEES OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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