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1730174822
BENJAMIN J FOGAL
BLOOMINGTON, MN
NPI
1730174822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: MN 3019)
Enumeration Date
2005-09-14
Last Update Date
2020-09-15
Business Address
BENJAMIN J FOGAL OD
9801 DUPONT AVE S STE 200
BLOOMINGTON, MN 55431-3200
Phone number: 952-888-5800
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Mailing Address
BENJAMIN J FOGAL OD
9801 DUPONT AVE S SUITE 425
BLOOMINGTON, MN 55431-3100
Phone number: 952-567-6092
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