Individual
NICOLA E GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
1955 GENEVA AVE N, OAKDALE, MN 55128-4108
(612) 819-3232
Mailing address
1955 GENEVA AVE N, OAKDALE, MN 55128-4108
(612) 819-3232
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
096034
MN
Other
Enumeration date
05/09/2011
Last updated
09/04/2012
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