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1114491917
AZAD ABULKALAM
KING OF PRUSSIA, PA
NPI
1114491917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: PA 9999999)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
Mr. AZAD ABULKALAM
100 MAIN ST STE 110
KING OF PRUSSIA, PA 19406-1385
Phone number: 201-705-9122
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Mailing Address
Mr. AZAD ABULKALAM
100 MAIN ST STE 110
KING OF PRUSSIA, PA 19406-1385
Phone number: 201-705-9122
Copy
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