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1003825621
SOROUSH BAHNAMIRI AZADI
AUSTIN, TX
NPI
1003825621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: TX 6642TG)
Enumeration Date
2006-08-05
Last Update Date
2012-09-12
Business Address
-- SOROUSH BAHNAMIRI AZADI O.D.
4211 S LAMAR BLVD STE E-3
AUSTIN, TX 78704-7996
Phone number: 512-916-4600
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Mailing Address
-- SOROUSH BAHNAMIRI AZADI O.D.
4211 S LAMAR BLVD STE E-3
AUSTIN, TX 78704-7996
Phone number: 512-916-4600
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