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1154896363
JACQUELYN TYRA
ASHBURN, VA
NPI
1154896363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002779)
Enumeration Date
2018-10-04
Last Update Date
2023-05-23
Business Address
Dr. JACQUELYN TYRA OD
43490 YUKON DR STE 200
ASHBURN, VA 20147-7315
Phone number: 703-724-0330
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Mailing Address
Dr. JACQUELYN TYRA OD
21735 PINEWOOD CT
STERLING, VA 20164-2300
Phone number: 703-304-2459
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