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1568440675
DERIN JOHN VAN LOON
DULUTH, MN
NPI
1568440675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2650)
Enumeration Date
2006-01-09
Last Update Date
2018-06-19
Business Address
-- DERIN JOHN VAN LOON OD
213 W 1ST ST
DULUTH, MN 55802-1909
Phone number: 218-727-1004
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Mailing Address
-- DERIN JOHN VAN LOON OD
213 W 1ST ST
DULUTH, MN 55802-1985
Phone number: 218-727-1004
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