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1922119486
RICHARD DAVID BRUESCH
FOREST LAKE, MN
NPI
1922119486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2622)
Enumeration Date
2006-08-31
Last Update Date
2007-07-09
Business Address
-- RICHARD DAVID BRUESCH OD
200 12TH ST SW
FOREST LAKE, MN 55025-1482
Phone number: 651-464-9767
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Mailing Address
-- RICHARD DAVID BRUESCH OD
13941 REDWOOD ST NW
ANDOVER, MN 55304-4135
Phone number: 651-464-9767
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