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1053920546
CHRISTA MARIE WIDJAJA
PLANO, TX
NPI
1053920546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9933)
Enumeration Date
2020-07-30
Last Update Date
2021-10-05
Business Address
Dr. CHRISTA MARIE WIDJAJA OD
5900 COIT RD
PLANO, TX 75023-5959
Phone number: 972-985-1412
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Mailing Address
Dr. CHRISTA MARIE WIDJAJA OD
5900 COIT RD
PLANO, TX 75023-5959
Phone number: 972-985-1412
Copy
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