MEDICARE: MR. ABRAHAM FG CURTEON ABOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	156F00000X	Technician/Technologist
2	156FC0800X	Contact Lens Technician/Technologist
3	156FX1800X	Optician

General Provider Information

NPI Number	:	1598116063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ABRAHAM FG CURTEON ABOC

Provider Business Mailing Address
First Line	:	11426 DAVIS ST
Second Line	:	#54
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-8500
Country	:	US
Telephone Number	:	810-210-4191
Fax Number	:

Provider Business Practice Location Address
First Line	:	11426 DAVIS STREET
Second Line	:	#54
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-8500
Country	:	US
Telephone Number	:	810-210-4191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/27/2016

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