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1609814177
ELAINE ICBAN
BOSTON, MA
NPI
1609814177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MA 4677)
Enumeration Date
2006-06-04
Last Update Date
2009-03-05
Business Address
Dr. ELAINE ICBAN O.D.
4199 WASHINGTON ST SUITE 2
BOSTON, MA 02131-1733
Phone number: 617-587-5520
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Mailing Address
Dr. ELAINE ICBAN O.D.
930 COMMONWEALTH AVE SUITE 2A
BOSTON, MA 02215-1274
Phone number: 617-587-5511
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