PORTAGE FAMILY VISION CARE, PC

PORTAGE, MI
NPI1679873343
Entity TypeOrganization
Authorized ContactDEANNA LYN MAYO
Od/Owner
269-324-4242
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901004152)
Enumeration Date2010-10-28
Last Update Date2010-10-28
Business Address
PORTAGE FAMILY VISION CARE, PC
6483 S. WESTNEDGE AVE.
PORTAGE, MI 49002-3542
Phone number: 269-324-4242
Mailing Address
PORTAGE FAMILY VISION CARE, PC
6483 S. WESTNEDGE AVE.
PORTAGE, MI 49002-3542
Phone number: 269-324-4242
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