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1619469905
BRYAN LAZZARIN
SAINT CLAIR SHORES, MI
NPI
1619469905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005152)
Enumeration Date
2018-06-01
Last Update Date
2018-07-20
Business Address
BRYAN LAZZARIN OD
30120 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Phone number: 586-778-7542
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Mailing Address
BRYAN LAZZARIN OD
118 CASS AVE
MOUNT CLEMENS, MI 48043-2204
Phone number: 586-464-1479
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