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1184700247
SOMA BOSE
FAIRFAX, VA
NPI
1184700247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0601002345)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- SOMA BOSE OD
11903-I LEE JACKSON MEMORIAL HWY #G133
FAIRFAX, VA 22033
Phone number: 703-218-8036
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Mailing Address
-- SOMA BOSE OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6509
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