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Organization

MOOSE LAKE EYE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SASHA NIRANJALI NARAYAN O.D. (PRESIDENT)
(218) 485-8495
Entity
Organization

Contact information

Practice address
312 ELM AVE, MOOSE LAKE, MN 55767-7706
(218) 485-8495
(218) 485-8498
Mailing address
312 ELM AVE, MOOSE LAKE, MN 55767-7706
(218) 485-8495
(218) 485-8498

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2979
MN

Other

Enumeration date
06/04/2010
Last updated
06/04/2010
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