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1104132786
FANETTE KIM
TAMPA, FL
NPI
1104132786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC4519)
Enumeration Date
2010-08-20
Last Update Date
2015-11-25
Business Address
Dr. FANETTE KIM O.D.
11921 N DALE MABRY HWY
TAMPA, FL 33609
Phone number: 813-963-1008
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Mailing Address
Dr. FANETTE KIM O.D.
11921 N DALE MABRY HWY
TAMPA, FL 33609
Phone number: 813-963-1008
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