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1164042461
JONATHAN LAM
PRESCOTT, AZ
NPI
1164042461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002879)
Enumeration Date
2020-04-16
Last Update Date
2024-09-27
Business Address
JONATHAN LAM OD
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-717-7477
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Mailing Address
JONATHAN LAM OD
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-717-7477
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