PORTAGE FAMILY VISION CARE, PC
Optometry in Kalamazoo, MI

License number
Michigan 4901004152
Category
Optometry
Type
Optometrist
Owner
Name: DR. DEANNA LYN MAYO OD
Title: OD/OWNER
Phone: (269) 324-4242
Address
Address
6483 S. Westnedge Ave., Kalamazoo, MI 49002
National Provider ID: 1679873343
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PORTAGE FAMILY VISION CARE, PC

Kalamazoo, MI

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jan 29, 2013
Phone:
(269) 324-4242 (Phone)
Addresses:
6483 S Westnedge Ave, Portage, MI 49002 (Physical)
Michigan (Mailing)
State ID:
04904X
Business type:
Domestic Profit Corporation
Vice-President, Od/owner, Owner:
Deanna L. Mayo Vice-President, Od/owner, Owner, inactive
Agent:
Katie Simon

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