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1972583037
WALTER J. LASOVAGE
OWOSSO, MI
NPI
1972583037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 2601)
Enumeration Date
2006-01-17
Last Update Date
2008-09-25
Business Address
Dr. WALTER J. LASOVAGE O.D.
311 E MAIN ST
OWOSSO, MI 48867-3136
Phone number: 989-725-2311
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Mailing Address
Dr. WALTER J. LASOVAGE O.D.
24911 NEWTON ST
DEARBORN, MI 48124-1557
Phone number: 313-204-8018
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