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1205314572
ALFONSO HERNANDEZ
BROKEN ARROW, OK
NPI
1205314572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2984)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
Dr. ALFONSO HERNANDEZ OD
3505 W KENOSHA ST
BROKEN ARROW, OK 74012-8948
Phone number: 918-286-2020
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Mailing Address
Dr. ALFONSO HERNANDEZ OD
1502 W LANSING ST
BROKEN ARROW, OK 74012-1548
Phone number: 580-603-0301
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