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1720040942
SAM DONOVAN VILLELLA
CAMBRIDGE, MN
NPI
1720040942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2836)
Enumeration Date
2006-04-04
Last Update Date
2021-03-11
Business Address
SAM DONOVAN VILLELLA OD
701 DELLWOOD ST S
CAMBRIDGE, MN 55008-1920
Phone number: 763-689-7700
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Mailing Address
SAM DONOVAN VILLELLA OD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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