*Doctor     :  yes

no Name : *Address :
Surgeon : yes
no Hospital:
Name : Address : Phone : Fax : *E-Mail : State : *City : Zip Code : *Country :
Hospital department:
Ophthalmology Dept : Buying dept : Sterilization dept : Officine dept : Other dept :

Interested for:
IOL: Acrygel foldable lens
Instruments:

Type:

If other, please specify:

Microblades:
Diamant : Crystal : Other knives :

* : required



LA PRECISION MOSANE
Rue Bellaire, 18 B
B-4120 Rotheux-Rimières (Neupré)
BELGIUM
PHONE : 324/343.70.85
FAX : 324/343.70.85
E-Mail : info@precision-mosane.be


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Email info@reality.be