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1689730681
LANCE ENGDAHL
MILWAUKEE, WI
NPI
1689730681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2711-035)
Enumeration Date
2006-12-28
Last Update Date
2011-10-28
Business Address
LANCE ENGDAHL OD
7425 W. APPLETON AVENUE
MILWAUKEE, WI 53216
Phone number: 414-464-5440
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Mailing Address
LANCE ENGDAHL OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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