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Organization

SNOWBALLS EYE BOUTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE CASTANS OD (OWNER/OPTOMETRIST)
(847) 456-7421
Entity
Organization

Contact information

Practice address
116 OLD STAGE RD UNIT A, SALIDA, CO 81201-8948
(719) 626-4234
Mailing address
116 OLD STAGE RD UNIT A, SALIDA, CO 81201-8948
(719) 626-4234

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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