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1760604854
MATTHEW THOMAS KISABETH
SAGINAW, MI
NPI
1760604854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004289)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW THOMAS KISABETH OD
5650 BAY ROAD
SAGINAW, MI 48604
Phone number: 989-790-8937
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Mailing Address
Dr. MATTHEW THOMAS KISABETH OD
PO BOX 1513
MT PLEASANT, MI 48804
Phone number: 989-330-5505
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