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1902127061
MICHAEL ICELY
YUMA, AZ
NPI
1902127061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1754)
Enumeration Date
2010-06-11
Last Update Date
2017-02-02
Business Address
Dr. MICHAEL ICELY OD
2149 W 24TH ST
YUMA, AZ 85364-6136
Phone number: 928-726-1100
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Mailing Address
Dr. MICHAEL ICELY OD
2149 W 24TH ST
YUMA, AZ 85364-6136
Phone number: 928-726-1100
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