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1962513176
FABIAN JEAN BUCKLEY
FAIRMONT, MN
NPI
1962513176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1608)
Enumeration Date
2006-08-31
Last Update Date
2009-04-13
Business Address
FABIAN JEAN BUCKLEY OD
1250 GOEMANN RD
FAIRMONT, MN 56031-4659
Phone number: 507-235-2523
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Mailing Address
FABIAN JEAN BUCKLEY OD
232 S DEWEY ST #108
FAIRMONT, MN 56031
Phone number: 507-238-9093
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