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1164536165
MAMIE CASSANDRA CHAN
ALBUQUERQUE, NM
NPI
1164536165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 512)
Enumeration Date
2006-08-18
Last Update Date
2016-05-25
Business Address
Dr. MAMIE CASSANDRA CHAN OD
5341 WYOMING BLVD NE STE D
ALBUQUERQUE, NM 87109-3164
Phone number: 505-821-8333
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Mailing Address
Dr. MAMIE CASSANDRA CHAN OD
5341 WYOMING BLVD NE STE D
ALBUQUERQUE, NM 87109-3164
Phone number: 505-717-2005
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