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1568463065
MICHAEL J PORTZ
RED OAK, IA
NPI
1568463065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 1753)
Enumeration Date
2005-08-09
Last Update Date
2008-06-13
Business Address
-- MICHAEL J PORTZ OD
1409 N 2ND ST
RED OAK, IA 51566-1043
Phone number: 712-623-5551
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Mailing Address
-- MICHAEL J PORTZ OD
1409 N 2ND ST PO BOX 463
RED OAK, IA 51566-1043
Phone number: 712-623-5551
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