DANIEL BLANCO

MESA, AZ
NPI1093261646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  2197)
Additional Taxonomies152W00000X Optometrist
(Licence: OK  2878)
Enumeration Date2016-09-01
Last Update Date2018-11-05
Business Address
Dr. DANIEL BLANCO O.D.
5250 E SOUTHERN AVE
MESA, AZ 85206-2747
Phone number: 602-955-1000
Mailing Address
Dr. DANIEL BLANCO O.D.
4606 E 87TH PL
TULSA, OK 74137
Phone number: 918-346-1752
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