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Individual

NICHOLAS JAMES BLASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2566 HUBBELL AVE, DES MOINES, IA 50317-6102
(515) 262-1094
Mailing address
400 W DUNDEE RD, STE 14-15, BUFFALO GROVE, IL 60089-3415
(515) 306-7213

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
002583
IA
152W00000X
Optometrist
Primary
046011522
IL
152W00000X
Optometrist
TA2370
MD

Other

Enumeration date
07/27/2013
Last updated
08/02/2021
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