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1043835069
JESSE AUSTIN LAM
SURPRISE, AZ
NPI
1043835069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 002430)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
JESSE AUSTIN LAM OD
13371 W GRAND AVE STE 102
SURPRISE, AZ 85374-7063
Phone number: 623-556-8083
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Mailing Address
JESSE AUSTIN LAM OD
7234 W KIMBERLY WAY
GLENDALE, AZ 85308-5857
Phone number: 623-628-6841
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