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1124146469
MICHAEL P SHEA
FORT WORTH, TX
NPI
1124146469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT002437)
Enumeration Date
2007-03-26
Last Update Date
2022-05-18
Business Address
Dr. MICHAEL P SHEA O.D.
9816 N BEACH ST
FORT WORTH, TX 76244-6184
Phone number: 817-741-2020
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Mailing Address
Dr. MICHAEL P SHEA O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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