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1508905241
FREDERICK DONALD BLANK
CLEVELAND, OH
NPI
1508905241
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Other Name
FREDERICK DONALD BLANK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OH #2856)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
MR. FREDERICK DONALD BLANK
2512 CLARK AVE
CLEVELAND, OH 44109-1111
Phone number: 216-241-2040
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Mailing Address
MR. FREDERICK DONALD BLANK
2512 CLARK AVE
CLEVELAND, OH 44109-1111
Phone number: 216-241-2040
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