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SOPHIA ROSE CAPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-3700
Mailing address
311 MORRISON ST APT 8, BIG RAPIDS, MI 49307-2223
(905) 851-0675

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
4901005569
MI
152WV0400X
Vision Therapy Optometrist
4901005569
MI

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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