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1154093656
ED JAE SHIN
NEW BRAUNFELS, TX
NPI
1154093656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 10424T)
Enumeration Date
2021-10-02
Last Update Date
2021-10-02
Business Address
ED JAE SHIN OD
267 CREEKSIDE WAY
NEW BRAUNFELS, TX 78130-6389
Phone number: 830-387-7511
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Mailing Address
ED JAE SHIN OD
3207 N CARRIAGEWAY DR
ARLINGTON HEIGHTS, IL 60004-1503
Phone number:
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