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1528075116
SHANE PATRICK KING
FLINT, MI
NPI
1528075116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004228)
Enumeration Date
2006-08-03
Last Update Date
2009-12-17
Business Address
-- SHANE PATRICK KING O.D.
523 M L KING AVE
FLINT, MI 48502-2002
Phone number: 810-238-0925
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Mailing Address
-- SHANE PATRICK KING O.D.
2679 REYNOLDS CIR
COLUMBIAVILLE, MI 48421-8935
Phone number:
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