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1417100629
COMMUNITY EYE CLINIC
MAPLEWOOD, MN
NPI
1417100629
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Entity Type
Organization
Authorized Contact
JONATHAN LARSON
Owner
651-777-6149
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN LD2140000)
Enumeration Date
2008-10-31
Last Update Date
2008-10-31
Business Address
COMMUNITY EYE CLINIC
1670 BEAM AVE STE 202
MAPLEWOOD, MN 55109-1129
Phone number: 651-777-6149
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Mailing Address
COMMUNITY EYE CLINIC
1670 BEAM AVE STE 202
MAPLEWOOD, MN 55109-1129
Phone number:
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