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Individual

DR. ALEXIS BONUCCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
811 EAST ST, LAPEER, MI 48446-3033
(810) 664-2121
(810) 664-0220
Mailing address
811 EAST ST, LAPEER, MI 48446-3033
(810) 664-2121
(810) 664-0220

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004331
MI

Other

Enumeration date
02/11/2007
Last updated
10/03/2007
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