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1962762039
BASS LAKE FAMILY EYE CARE INC.
MAPLE GROVE, MN
NPI
1962762039
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Entity Type
Organization
Authorized Contact
BRAD A WEEKS
O PT Ometrist
763-553-1811
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2168)
Enumeration Date
2012-05-23
Last Update Date
2013-05-29
Business Address
BASS LAKE FAMILY EYE CARE INC.
12750 BASS LAKE RD
MAPLE GROVE, MN 55369-6307
Phone number: 763-553-1811
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Mailing Address
BASS LAKE FAMILY EYE CARE INC.
12750 BASS LAKE RD
MAPLE GROVE, MN 55369-6307
Phone number: 763-553-1811
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