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1972528776
MICKELSON EYE CLINIC, PA
THIEF RIVER FALLS, MN
NPI
1972528776
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Entity Type
Organization
Authorized Contact
CRAIG R MICKELSON
Owner/ Optometrist
218-683-3937
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1891)
Enumeration Date
2006-07-13
Last Update Date
2008-04-17
Business Address
MICKELSON EYE CLINIC, PA
126 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2819
Phone number: 218-683-3937
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Mailing Address
MICKELSON EYE CLINIC, PA
126 LABREE AVE S PO BOX 521
THIEF RIVER FALLS, MN 56701-2819
Phone number: 218-683-3937
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