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1134671506
TACY MARY JESTIN
DALLAS, TX
NPI
1134671506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9019TG)
Enumeration Date
2016-11-01
Last Update Date
2017-03-30
Business Address
-- TACY MARY JESTIN O.D.
2223 S BUCKNER BLVD #235
DALLAS, TX 75227-8646
Phone number: 469-357-3678
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Mailing Address
-- TACY MARY JESTIN O.D.
4317 MITCHELL LN
ROWLETT, TX 75088-2895
Phone number: 214-762-7858
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