Organization
HOOLIGAN ADVENTURES
Active
Other names
ChaLa Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON P HORNBUCKLE (OWNER)
(612) 578-1777
Entity
Organization
Contact information
Practice address
3185 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
(612) 578-1777
Mailing address
3185 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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