JEFFERY CLINTON COSGROVE

PORTAGE, MI
NPI1952323404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152WC0802X Optometrist, Corneal and Contact Management
(Licence: MI  4901003809)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Dr. JEFFERY CLINTON COSGROVE O.D.
1905 LAKEVIEW DR
PORTAGE, MI 49002-6926
Phone number: 269-323-4605
Mailing Address
Dr. JEFFERY CLINTON COSGROVE O.D.
1905 LAKEVIEW DR
PORTAGE, MI 49002-6926
Phone number: 269-323-4605
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