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1043276421
DAT LY
TYLER, TX
NPI
1043276421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 6516T)
Enumeration Date
2006-04-25
Last Update Date
2013-01-11
Business Address
-- DAT LY O.D.
7924 S BROADWAY AVE STE 200
TYLER, TX 75703-5204
Phone number: 903-617-6864
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Mailing Address
-- DAT LY O.D.
830 CARRIAGE DR
TYLER, TX 75703-3682
Phone number: 903-530-5250
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