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Individual
NATHAN LANGEMO
Active
Individual
NATHAN LANGEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3304
MN
152WS0006X
Sports Vision Optometrist
Primary
3304
MN
152WV0400X
Vision Therapy Optometrist
3304
MN
Other
Enumeration date
10/07/2009
Last updated
08/20/2012
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