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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI Number | 1073649844 |
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| LBN Legal business name | GRAND LAKE EYE CARE, PC | ||||||||||||||||
| Authorized official | KEVIN TOLLER - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 02/26/2007 | ||||||||||||||||
| Last updated | 11/18/2010 - About 16 years ago | ||||||||||||||||
| Identifiers |
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GRAND LAKE EYE CARE, PC